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INFORM PAYMENT

Order Code *

The Order code can be checked from the order confirmation email

Name *

Email *

Phone *

Amount *

Payment method *

		Kasikorn Bank Name : Jet Medical (Thailand) Co.,Ltd. Office : Klong Song Thayaburi A/C No. : 061-3-81530-9
		TMBThanachart Bank เลขที่บัญชี 280-2-08427-3 ชื่อบัญชี ชนะพล โสพิกุล
		Bangkok Bank Chanapol Sopikul 946-0-83590-4

Payment Date *

Payment Time *

Proof of Payment *

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Note

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