<tr> <td height="26" align="center" bgcolor="#FFFFFF" class="zc1218"><strong>Requirement Registration Form of International Buyer</strong></td> </tr> <tr> <td height="24" align="left" bgcolor="#FFFFFF" class="zc1218"><strong>  Information of the Products Required</strong></td> </tr> <tr> <td class="zc1218"><table width="100%" border="0" cellpadding="0" cellspacing="1" bgcolor="#333333"> <tr> <td width="98" rowspan="5" align="center" valign="middle" bgcolor="#FFFFFF" class="zc1218">Product Types</td> <td height="18" colspan="4" align="left" bgcolor="#FFFFFF" class="zc1218">    Giant-scale Industrial</td> </tr> <tr> <td width="250" height="18" align="center" bgcolor="#FFFFFF" class="zc1218">and Mining Tyre</td> <td width="25" align="center" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox" value="checkbox" /></td> <td width="250" align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218">Diagonal Tyre</td> <td width="25" align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox5" value="checkbox" /></td> </tr> <tr> <td height="18" align="center" bgcolor="#FFFFFF" class="zc1218">Industrial Forklift Tyre</td> <td width="25" align="center" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox2" value="checkbox" /></td> <td align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218">Farm Tyre</td> <td width="25" align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox6" value="checkbox" /></td> </tr> <tr> <td height="18" align="center" bgcolor="#FFFFFF" class="zc1218">All-steel Radial Ply Tyre</td> <td width="25" align="center" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox3" value="checkbox" /></td> <td align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218">Inner Tube</td> <td width="25" align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox7" value="checkbox" /></td> </tr> <tr> <td height="18" align="center" bgcolor="#FFFFFF" class="zc1218">Semi-steel Radial Ply Tyre</td> <td width="25" align="center" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox4" value="checkbox" /></td> <td align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218">Felloe Band</td> <td width="25" align="center" valign="bottom" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox8" value="checkbox" /></td> </tr> </table></td> </tr> <tr> <td class="zc1218"><table width="100%" border="0" cellpadding="0" cellspacing="1" bgcolor="#333333"> <tr> <td align="center" valign="middle" bgcolor="#FFFFFF" class="zc1224">Product Type</td> <td align="center" valign="middle" bgcolor="#FFFFFF" class="zc1224">Level</td> <td width="150" align="center" valign="middle" bgcolor="#FFFFFF" class="zc1224">Cover Tyre Weight (Kg)</td> <td width="150" align="center" valign="middle" bgcolor="#FFFFFF" class="zc1224">Purchase Quantity (Pcs.)</td> <td width="150" align="center" valign="middle" bgcolor="#FFFFFF" class="zc1224">Expected Unit Price (USD)</td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> <tr> <td height="18" align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> <td align="center" valign="middle" bgcolor="#FFFFFF"> </td> </tr> </table></td> </tr> <tr> <td height="24" bgcolor="#FFFFFF" class="zc1218"><strong>  Brand Request</strong></td> </tr> <tr> <td class="zc1218"><table width="100%" border="0" cellpadding="0" cellspacing="1" bgcolor="#333333"> <tr> <td width="45%" height="18" align="center" bgcolor="#FFFFFF" class="zc1218">Original Equipment Manufacturer (OEM)</td> <td width="5%" align="center" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox42" value="checkbox" /></td> <td width="45%" align="center" bgcolor="#FFFFFF" class="zc1218">Supplier’s Brand</td> <td width="5%" align="center" bgcolor="#FFFFFF" class="zc1218"><input type="checkbox" name="checkbox43" value="checkbox" /></td> </tr> </table></td> </tr> <tr> <td height="24" bgcolor="#FFFFFF" class="zc1218"><strong>  Buyer’s Information</strong></td> </tr> <tr> <td class="zc1218"><table width="100%" border="0" cellpadding="0" cellspacing="1" bgcolor="#333333"> <tr> <td align="center" bgcolor="#FFFFFF" class="zc1218">Company Name:</td> <td height="18" colspan="3" align="left" bgcolor="#FFFFFF" class="zc1218"> </td> </tr> <tr> <td align="center" bgcolor="#FFFFFF" class="zc1218">Country:</td> <td width="210" height="18" align="left" bgcolor="#FFFFFF" class="zc1218"> </td> <td width="83" align="center" bgcolor="#FFFFFF" class="zc1218">Telephone:</td> <td width="253" align="left" bgcolor="#FFFFFF" class="zc1218"> </td> </tr> <tr> <td width="122" align="center" bgcolor="#FFFFFF" class="zc1218">Contact Person:</td> <td height="18" align="left" bgcolor="#FFFFFF" class="zc1218"> </td> <td align="center" bgcolor="#FFFFFF" class="zc1218">Fax:</td> <td align="left" bgcolor="#FFFFFF" class="zc1218"> </td> </tr> <tr> <td align="center" bgcolor="#FFFFFF" class="zc1218">E-mail:</td> <td height="18" colspan="3" align="left" bgcolor="#FFFFFF" class="zc1218"> </td> </tr> <tr> <td align="center" bgcolor="#FFFFFF" class="zc1218">Other Requests:</td> <td height="18" colspan="3" align="left" bgcolor="#FFFFFF" class="zc1218"> </td> </tr> </table></td> </tr> </table>