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Forecast Fetus Sex Application Form


  Information
Husband:   Birth place *

Birthday:

 *
( If was born abroad, please fill in foreign time )
Wife:   Birth place *

Birthday:

 *
( If was born abroad, please fill in foreign time )
Birth place:
Pregnancy: The Fetus Request *
Remark:
  Contact Information
Contact person: *
Address: *
Mobile: *
Remittance:
 
Bank: Currency *
Remittance date *
 
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Please carefully check the contents:
Husband:  
Birth place:
Wife:  
Birth place:
Birth place:
Pregnancy:  The Fetus  Request: 
Remark:
Contact person: Mobile:
Address:
Remittance: Currency: Bank:
Discount amount:  RMB 
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