Your First Name你的名:
Your Last Name 你的姓:
Your Email你的电子邮件地址:
Street Address 街道地址: Room 301 No 35 ChengQiaoYi Village HaMi Road ChangNing District
Street Address (opt.): 不用填
Suite/Apt. (opt): 不用填
City城市: ShangHai
State/Region省: 不用填
ZIP邮编: 200050
Country国家: China