Full Name: (全名):此处写上你的名字汉语拼音。首字母大写,每个字之间空一格;
Address Line 1: 地址行1:room 302, Building D1,
Address Line 2: 地址行2:Yiyuan South Block, Yiyuan road,
City: 城市:** city
State/Province/Region州/省/地区: Shanxi Province
ZIP/Postal Code: 邮编:
Phone Number: 电话号码: