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Shanghai Commercial Bank Ltd.
Tsim Sha Tsui (East) Branch
G27 Houston Center
63 Mody Road
TST East, Kowloon, Hong Kong
Hepaguard (Int'l) Co., Ltd.
A/C no. 353-82-03561-1

note: Please await for order confirmation before sending payment!

Last Name
First Name
Address
Address (cont.)
City
Country
Contact Number
Email Address
HepaCare Membership No.
Hepatic Medication for Hepatitis B
	Hepaguard® 180 Tablets	HKD$ Quantity:
	Post Charges	South East Asia HK$ 150 per bottle/box (For 1-3 items) Outside South East Asia and over 3 bottles/box postage fee to be-advised