Recharge Service
 RENTAL DETAIL 
 Phone Number:*
 Pre-paid Cell Phone Card:* $16 x
聽($16 value phone card can make 66 minutes domestic calls or incoming calls or 30 minutes to USA)
 Voice Mail Service ($5 activate fee) Yes No
 CUSTOMER INFORMATION 
 Gender:* Mr. Ms.
 First Name:*
 Last Name:*
 Home/Office Phone Number:*
 E-Mail Address:*
(Your must enter an correct email address for notification/communication)
 Alternative E-mail

 RECHARGE TIME INTERVAL
From: / /
 To: / /
 PAYMENT METHOD 
 Credit Card We Accetp:
 Name as it appears
 on credit card:*		 (We only take credit card)
 Credit Card Number:* (Please confirm it)
 Exp. Date:* /
 Security Code:*
 Special Delivery Message:
 Initials of your first name and last  name: