Editor’s Picks
Editor’s Picks
Hot Products on
Taiwantrade.com Taiwantrade is a global e-Trading hub designed to help buyers around the world and Taiwan suppliers easily conduct business online. We enable global buyers to efficiently tap into all kinds of Taiwan product and trade information.
Leisure Men Belt Buckle ECHO METAL CO., LTD. echometal.en.taiwantrade.com • Specially
design for gentlemen belt buckle like this central bar style, it's elegant and durable for normal or casual occasion.
Nani Zinc Mask NAM LIONG ENTERPRISE CO., LTD. namliong.en.taiwantrade.com • Antibacterial • Built-in • 3D
rate >99% after 50 times of washing
nose wire, to perfectly fit every shape
design for easy breathing
• Nano-Zinc
Lining: Kills 99.9% of germs
• Water-Repellent
droplets and dust
Treatment Shell: Protects from
• 30mm
(1-1/4"")
• Nickel
plated satin finishing
• Made
in Taiwan
Editor’s Picks
Plush Microfiber Towel BERSLIN. CO., LTD. berslin.en.taiwantrade.com • Material: • Made
80% polyester + 20% nylon
of strong fibers to reduce allergy problems.
• Special
fiber material made in Taiwan with an excellent waterabsorbing ability.
• Certified
by SGS that it is completely non-toxic, free of formaldehyde, fluorescent agents, and carcinogenic aromatic amines.
• The
texture is as soft and breathable as silk, suitable for infants.
• Made
in Taiwan, quality and safety are guaranteed.
Innovative Ankle Protector DANKEN ENTERPRISE CO., LTD. danken.en.taiwantrade.com • Content: • Size
52% nylon, 36% coolmax (polyester), 12% lycra
(Center Measurement): foot 8 X leg 10 cm
Gem-Generated Chi Energy Protective Waist Pad HEALTHIN INTERNATIONAL CO., LTD. healthin.en.taiwantrade.com • Lumbar • Fortify
decompression
the stomach and kidney
• Enhance
pulse circulation
• Contain
mineral nanofibers and nano-silver that resists bacteria and odor.
• Quality
assured and certified by Taiwan Functional Textiles, MIT (Made-in-Taiwan), and nanoMark certification systems.
5
Editor’s Picks
Insulated Jacket SIGNAL ENTERPRISE CO., LTD. signal.en.taiwantrade.com
• Recommended Use: Mountaineering, casual, hiking • Back
Length: 67 cm/26.4”
• Sleeve
Length: 77 cm/30.3”
• Weight: • Fabric
0.30 kg
Technology: Toray Replex® DWR
• Insulation
Features:
- 3M Thinsulate platinum insulation 60 g - 2-way stretch - Stretch fleece inserts for maximum mobility - HeiQ eco barrier water repellent
Pig Grain Lining SUN FULL FORTUNE ENTERPRISE CO., LTD. sunfullfortune.en.taiwantrade.com • Thickness:
0.6-0.8mm
• Semi-trimmed • Square • Use:
Feet: 8-16sf
Shoe/boots lining, bag, glove
Snap Buttons Snapax Buttons Co., Ltd. spx101.en.taiwantrade.com • Size:
15mm, 17mm, 12mm
• Description: • Material: • Colors:
ECO Single Material Plastic Zipper HOMER ZIPPER CO., LTD. homer.en.taiwantrade.com •
Material: Recycled PET
•
Zipper Type:#5.#8.#10
•
Use: Bag, garment, backpack....
Press snap fastener, press snap button
Iron made, brass made
Nickel, ACD, ABL, ASL, BNKL, Nickel free, coating
Online Deals!
ONLINE
DEALS!
STEP
1 Scan the QR Code below.
STEP
2 Place an order and pay.
STEP
3 Wait for the package to arrive at your doorstep!
Products From TAIWANTRADE.COM
Flower Shank Buttons KATRIMS INDUSTRIAL CO., LTD. katrims.en.taiwantrade.com/online-shop
Li-ion Battery Washable Heated Vest QUANTUMTEX INTERNATIONAL LTD. quantumtex.en.taiwantrade.com/online-shop
Interchangeable Covers Dress Shoes CAMALEON CO. rutis.en.taiwantrade.com/online-shop
7
Online Deals!
Microfiber Medical Compression Stockings CHYAU KE CO., LTD. koolfree.en.taiwantrade.com/online-shop
Jacquard Anti-Slip Elastic Webbing WEI-DEAN WEAVE BELT FACTORY CO., LTD. weidean.en.taiwantrade.com/online-shop
25mm Sew-On Hook & Loop Fastener Tape LOVETEX INDUSTRIAL CORP. lovetex.en.taiwantrade.com/online-shop
Inspiring Company Story
Ecomax Textile Takes Environmental Protection E
comax Textile Co., Ltd specializes in recycling and manufacturing of eco-textiles. Its main products are
eco-fabrics, also including R&D and producing functional cloth for final products such as bags, clothing, and home decoration. It is the partner manufacturer of many worldfamous large companies. The current product sales covers a wide range of countries in Europe, America, Asia, and have been well received and praised by customers.
With Fearlessness, Become Taiwan's First to Make Clothing Fabric from PET Bottles For Taiwan's textile industry, the 1960s was the crucial period in its booming development. Ecomax Textile, located in Shengang Township, Changhua County, was founded in the era of earning foreign exchange during Taiwan's industrialization period. Mr. Mark Ko, the presiding chairman, said, "Since my childhood, I grew up immersed in a textile factory and learned from my father. I knew everything about fabrics, yarns, and their production processes. I took over my father's business after discharging from the military." In 1993, Mr. Ko accidentally heard a speech gave by Master Cheng Yen, founder of the Tzu Chi Foundation, saying, "I urged everyone who was clapping my speech to use your hands to recycle garbage and protect our environment." Her plea struck a chord with his mind and started his journey of environmental
Ecomax Chairman Mr. Mark Ke
protection. Coincidentally, just as Mr. Ko was thinking about how
At that time, he recalled, to develop the recycling yarn
textiles can be used to protect the environment, he
of PET bottle, he spent a lot of money to buy expensive
happened to read an article from an in-flight magazine on
equipment from Europe and invested a good deal of time
the plane reporting that an American brand called Apple
and labor costs. At first, his paranoid behavior was beyond
made jeans out of five PET bottles. However, at that
his father's grasp. But when he successfully developed the
time, no textile factory in Taiwan owned such technology.
first batch of PET bottle recycled fiber (PETPUN ÂŽ, PET
Instantly, an idea flashed through his mind, and he made
yarns) in 1996 and became the first company in Taiwan
up his mind to make a commitment, "I must make it
to produce environmentally-friendly recycled fabrics, the
possible for Taiwan to produce clothes from recycled PET
hardships, and persistence along the way were finally
bottles too!"
recognized by his family.
9
Inspiring Company Story
Ecomax Textile Factory
Put on Marine Debris and Leap onto a New Stage of Circular Economy
Working Together with Customers for Global Sustainability
In 2013, to continue promoting his faith of environmental
Ecomax textile has been actively developing
protection, Mr. Ko was committed to slowing down the
environmentally friendly textiles. Despite the lack of
degradation of the marine environment and the resource
product-service design and weak professional collaboration
catastrophe. He spun the wasted fishing net into the
system, Mark continues to grit his teeth and keep the
special fiber, added the recycled polyester fiber of PET
business running. All of his products represent his love
bottle, and blended them into a texture with unique comfort
of the Earth. And in an era of advertised personalization,
and soft touch close to cotton fibers. To make a global
being able to meet the needs of customization of small
response possible to the concept of marine environmental
amounts and variety is also the ability that Ecomax
protection, Mr. Ko actively built the brand of NYHI and
Textile must have undoubtedly. In light of this, Ecomax
collaborated with international designers to bolster the
Textile recently acquired the advanced digital printing
design momentum. All the designers need to do is upload
equipment that is capable of meeting the challenges of
their design drawings, and the sample product can be
rapid product change, short cycle, various categories, and
produced accordingly. The value chain of the industry was
standardization. We are looking forward to working with our
enhanced with the introduction of "design" and "brand
customers to do our best for the Earth.
name."
ECOMAX TEXTILE CO., LTD ecomaxtex.en.taiwantrade.com
Apparel & Accessories
13
15
17
19
21
23
25
27
29
Textile & Leather
31
33
35
37
39
41
Machinery
43
45
Houseware
47
Others
51
Index by Category 53 COMPANY
APPAREL & ACCESSORIES
PAGE
Apparel Aisance International Co., Ltd......................................................... 14
COMPANY
PAGE
Snapco Industrial Co., Ltd............................................................... 22 Ta Cherng Embroidery Co., Ltd....................................................... 23 Tenluxe Co., Ltd............................................................................... 23 Tyan Kuei Enterprise Co., Ltd.......................................................... 23
Fantastic Enterprise Co., Ltd........................................................... 14
Wavecape Industrial Co., Ltd.......................................................... 23
Fom Mau Long Co., Ltd.................................................................. 14
Wei-Dean Weave Belt Factory Co., Ltd.......................................... 24
Perfect-Advance Holding Co., Ltd.................................................. 14
Wingers International Co., Ltd......................................................... 24
Promax Corporation........................................................................ 15
Yam-Yam Enterprises Co., Ltd........................................................ 24
Quantumtex International Ltd.......................................................... 15 Sportswear Signal Enterprise Co., Ltd................................................................ 12
Hats Afforest Co., Ltd............................................................................... 24 Liduoo Int'L Co., Ltd........................................................................ 25
Bourtex, Inc...................................................................................... 15
Omosa Knitwear Co., Ltd................................................................ 25
Gni Co., Ltd...................................................................................... 15
Yang Yih Machinery Co., Ltd........................................................... 25
Pouch Shoetec Co., Ltd.................................................................. 16 United Great Garments Co., Ltd..................................................... 16 Sleepwear & Underwear Sweneo Lingerie Co., Ltd................................................................ 13
Hosiery Chyau Ke Co., Ltd............................................................................ 25 Danken Enterprise Co., Ltd............................................................. 26 Saduh Industries Co., Ltd................................................................ 26
Healthin International Co., Ltd......................................................... 16
Shan Jung International Co., Ltd.................................................... 26
Kay Yuh Co., Ltd.............................................................................. 16
Sun Mount Tech Co., Ltd................................................................. 26
Garment Accessories Aponik Cresting Corp...................................................................... 17
Hosiery Daf Taiwan International Corp......................................................... 27
Atics Industrial Corp......................................................................... 17
Echo Metal Co., Ltd......................................................................... 27
Best Label Enterprise Co., Ltd........................................................ 17
Purple Chain Industry Co., Ltd........................................................ 27
Bettyjou Industrial Co., Ltd.............................................................. 17
Zinnica Industrial Co., Ltd................................................................ 27
Bright Creation Ltd........................................................................... 18 Genmore Zipper Corporation.......................................................... 18
Hair Ornaments B&B Co............................................................................................. 28
Gesong Enterprises Co., Ltd........................................................... 18
Hang Chow Industrial Co., Ltd........................................................ 28
Chung Ting Industrial Co., Ltd........................................................ 18
Hao Hann Enterprise Co., Ltd......................................................... 19 Image-Trans Technics Inc................................................................ 19
Casual & Dress Shoes C. J. Express Inc.............................................................................. 28
Ingenius Co., Ltd.............................................................................. 19
Camaleon Co................................................................................... 28
Jaking Industrial Co., Ltd................................................................. 20
Skysale Enterprise Co., Ltd............................................................. 29
Homer Zipper Co., Ltd..................................................................... 19
Junmay Label Mfg. Corp................................................................. 20 Lien Siang Co., Ltd........................................................................... 20
Clothing Display Supplies Bbest Store Fixtures Co., Ltd.......................................................... 29
Lovetex Industrial Corp.................................................................... 21
Big Fame Industrial Corporation..................................................... 29
Ming Lin Co., Ltd.............................................................................. 21
Hi-Star Shopfitting Ind. Co., Ltd...................................................... 29
Katrims Industrial Co., Ltd............................................................... 20
Ming Shing Hardware Co., Ltd........................................................ 21 Share Jeng Enterprise Co., Ltd....................................................... 21 Shih Keh Enterprise Co., Ltd........................................................... 22 Shine Chi Co., Ltd............................................................................ 22 Snapax Buttons Co., Ltd................................................................. 22
TEXTILE & LEATHER Genuine Leather Sun Full Fortune Enterprise Co., Ltd............................................... 32
54
Index by Category
COMPANY
PAGE
Synthetic Leather China Plastics Co., Ltd.................................................................... 32 Serro Textiles Co., Taiwan Branch (Syria)....................................... 32 Uniglife International Co., Ltd.......................................................... 32 Fiber Busitop International Co., Ltd.......................................................... 33 Yarn Ch Min Cotton Industry Co., Ltd..................................................... 31
COMPANY
MACHINERY
PAGE
Textile Machinery Askme Intergroup Co., Ltd.............................................................. 43 Charming Star International Co., Ltd.............................................. 43 Compunic Electronics Co., Ltd....................................................... 43 Go Goal International Co., Ltd......................................................... 43 Lkm Knitting Machinery Co., Ltd..................................................... 44 New Sheng Ling Industrial Co., Ltd................................................ 44 Sunny Computer International Corp............................................... 44
Ecomax Textile Co., Ltd................................................................... 33
Tsang Yu Industrial Co., Ltd............................................................. 44
Four Elements Energy Biotechnology Co., Ltd.............................. 33
Yi Zi Shun Enterprise Co., Ltd......................................................... 45
Horn Chier Trading Company Ltd................................................... 33 Horng Jing Textile Co., Ltd.............................................................. 34 New Top Power Enterprise Co., Ltd................................................ 34 Fabric Acro-Gain Industrial Ltd................................................................... 34 Asiatic Fiber Corporation................................................................. 34 Cheer Acho Co., Ltd........................................................................ 35 Chun Jian Enterprise Co., Ltd......................................................... 35 Fu Jyi Lin Enterprise Co., Ltd.......................................................... 35
Household Textiles Acenature Biotechnology Co., Ltd.................................................. 47 Berslin. Co., Ltd................................................................................ 47 Ezunited Enterprise Co., Ltd............................................................ 47 Pine Spring International Co., Ltd................................................... 47 Sunglow Industrial Co., Ltd............................................................. 48
OTHERS
Go Infinite Enterprises Limited........................................................ 36
Dye & Pigment Rui Li Jie Enterprise Co., Ltd........................................................... 50
Hugin International Co., Ltd............................................................. 36
Riits Trading Co., Ltd........................................................................ 51
Juan Yu Enterprise Co., Ltd............................................................. 36
Taiwan Dyestuffs & Pigments Corp................................................. 51
K&D Global Co., Ltd......................................................................... 36
Centro Chino Co., Ltd...................................................................... 51
Full Men Fabric Company Ltd......................................................... 35
Li Peng Enterprise Co., Ltd.............................................................. 37 Micro Galaxy International Co., Ltd................................................ 37
Luggage, Bags & Cases Beauty Plus Ind. Ltd......................................................................... 52
Nam Liong Enterprise Co., Ltd........................................................ 37
Leader Tech Textile Co., Ltd............................................................ 52
Mhtc Technology Company............................................................ 37
New Daywin Corp............................................................................ 38 Perfect Textile Co., Ltd..................................................................... 38 Phenom Textile Co., Ltd................................................................... 38 Probesty Supertex Corporation...................................................... 38 Sheng Group Textile Co., Ltd.......................................................... 39 Shianq Horng Co., Ltd..................................................................... 39 Shih Loong Enterprise Co., Ltd....................................................... 39 Sing Nett Company Limited............................................................ 39 Singhotex Co., Ltd........................................................................... 40 Top Found Industries Co., Ltd......................................................... 40 Wei Syun Industrial Company, Limited........................................... 40 Win Yang Textile Co., Ltd................................................................. 40 Yen Shin Gee Enterprise Ltd............................................................ 41 Yiu Jia Industrial Co., Ltd................................................................. 41
Index by Company 55 COMPANY
PAGE
COMPANY
PAGE
Acenature Biotechnology Co., Ltd................................................. 47
Fantastic Enterprise Co., Ltd.......................................................... 14
Afforest Co., Ltd............................................................................... 24
Four Elements Energy Biotechnology Co., Ltd............................ 33
Acro-Gain Industrial Ltd................................................................. 34 Aisance International Co., Ltd........................................................ 14
Aponik Cresting Corp...................................................................... 17 Asiatic Fiber Corporation............................................................... 34 Askme Intergroup Co., Ltd............................................................. 43
Atics Industrial Corp........................................................................ 17
B&B Co............................................................................................. 28
Bbest Store Fixtures Co., Ltd.......................................................... 29 Beauty Plus Ind. Ltd........................................................................ 52
Berslin. Co., Ltd................................................................................ 47
Fom Mau Long Co., Ltd................................................................... 14 Fu Jyi Lin Enterprise Co., Ltd.......................................................... 35
Full Men Fabric Company Ltd........................................................ 35
Genmore Zipper Corporation........................................................ 18
Gesong Enterprises Co., Ltd........................................................... 18 Gni Co., Ltd....................................................................................... 15 Go Goal International Co., Ltd....................................................... 43
Go Infinite Enterprises Limited...................................................... 36
Best Label Enterprise Co., Ltd........................................................ 17
Hang Chow Industrial Co., Ltd....................................................... 28
Big Fame Industrial Corporation................................................... 29
Healthin International Co., Ltd...................................................... 16
Bettyjou Industrial Co., Ltd............................................................ 17 Bourtex, Inc...................................................................................... 15
Bright Creation Ltd.......................................................................... 18 Busitop International Co., Ltd........................................................ 33
C. J. Express Inc............................................................................... 28 Camaleon Co................................................................................... 28
Centro Chino Co., Ltd...................................................................... 51
Ch Min Cotton Industry Co., Ltd..................................................... 31 Charming Star International Co., Ltd............................................ 43
Cheer Acho Co., Ltd......................................................................... 35
Hao Hann Enterprise Co., Ltd........................................................ 19 Hi-Star Shopfitting Ind. Co., Ltd..................................................... 29 Homer Zipper Co., Ltd.................................................................... 19 Horn Chier Trading Company Ltd................................................. 33
Horng Jing Textile Co., Ltd............................................................. 34 Hugin International Co., Ltd........................................................... 36
Image-Trans Technics Inc............................................................... 19
Ingenius Co., Ltd.............................................................................. 19
China Plastics Co., Ltd.................................................................... 32
Jaking Industrial Co., Ltd............................................................... 20
Chung Ting Industrial Co., Ltd....................................................... 18
Junmay Label Mfg. Corp................................................................ 20
Chun Jian Enterprise Co., Ltd........................................................ 35 Chyau Ke Co., Ltd............................................................................ 25
Compunic Electronics Co., Ltd...................................................... 43 Daf Taiwan International Corp...................................................... 27 Danken Enterprise Co., Ltd............................................................ 26
Echo Metal Co., Ltd.......................................................................... 27
Ecomax Textile Co., Ltd................................................................... 33 Ezunited Enterprise Co., Ltd.......................................................... 47
Juan Yu Enterprise Co., Ltd............................................................ 36
K&D Global Co., Ltd......................................................................... 36 Katrims Industrial Co., Ltd.............................................................. 20 Kay Yuh Co., Ltd............................................................................... 16 Leader Tech Textile Co., Ltd........................................................... 52
Li Peng Enterprise Co., Ltd............................................................. 37 Liduoo Int'L Co., Ltd........................................................................ 25 Lien Siang Co., Ltd........................................................................... 20
56
Index by Company
COMPANY
PAGE
Lkm Knitting Machinery Co., Ltd................................................... 44
Lovetex Industrial Corp.................................................................. 21
Mhtc Technology Company........................................................... 37
Micro Galaxy International Co., Ltd............................................... 37 Ming Lin Co., Ltd.............................................................................. 21 Ming Shing Hardware Co., Ltd....................................................... 21
Nam Liong Enterprise Co., Ltd....................................................... 37
New Daywin Corp........................................................................... 38 New Sheng Ling Industrial Co., Ltd............................................... 44
New Top Power Enterprise Co., Ltd............................................... 34
Omosa Knitwear Co., Ltd............................................................... 25 Perfect Textile Co., Ltd.................................................................... 38 Perfect-Advance Holding Co., Ltd.................................................. 14
Phenom Textile Co., Ltd.................................................................. 38
Pine Spring International Co., Ltd................................................. 47 Pouch Shoetec Co., Ltd.................................................................. 16
Probesty Supertex Corporation.................................................... 38
Promax Corporation....................................................................... 15
Purple Chain Industry Co., Ltd....................................................... 27
Quantumtex International Ltd...................................................... 15 Riits Trading Co., Ltd....................................................................... 51
Rui Li Jie Enterprise Co., Ltd.......................................................... 50
Saduh Industries Co., Ltd............................................................... 26
Serro Textiles Co., Taiwan Branch (Syria)..................................... 32
Shan Jung International Co., Ltd.................................................. 26 Share Jeng Enterprise Co., Ltd...................................................... 21
Sheng Group Textile Co., Ltd.......................................................... 39
Shianq Horng Co., Ltd..................................................................... 39
Shih Keh Enterprise Co., Ltd.......................................................... 22
COMPANY
PAGE
Shih Loong Enterprise Co., Ltd...................................................... 39 Shine Chi Co., Ltd............................................................................ 22
Signal Enterprise Co., Ltd............................................................... 12 Sing Nett Company Limited........................................................... 39 Singhotex Co., Ltd........................................................................... 40
Skysale Enterprise Co., Ltd............................................................. 29 Snapax Buttons Co., Ltd................................................................. 22
Snapco Industrial Co., Ltd.............................................................. 22 Sun Full Fortune Enterprise Co., Ltd............................................. 32 Sun Mount Tech Co., Ltd................................................................ 26
Sunglow Industrial Co., Ltd............................................................ 48 Sunny Computer International Corp............................................ 44 Sweneo Lingerie Co., Ltd................................................................ 13 Ta Cherng Embroidery Co., Ltd...................................................... 23
Taiwan Dyestuffs & Pigments Corp............................................... 51 Tenluxe Co., Ltd............................................................................... 23 Top Found Industries Co., Ltd........................................................ 40 Tsang Yu Industrial Co., Ltd............................................................ 44
Tyan Kuei Enterprise Co., Ltd......................................................... 23 Uniglife International Co., Ltd........................................................ 32
United Great Garments Co., Ltd.................................................... 16
Wavecape Industrial Co., Ltd......................................................... 23
Wei Syun Industrial Company, Limited........................................ 40 Wei-Dean Weave Belt Factory Co., Ltd.......................................... 24 Win Yang Textile Co., Ltd................................................................. 40
Wingers International Co., Ltd....................................................... 24
Yam-Yam Enterprises Co., Ltd........................................................ 24 Yang Yih Machinery Co., Ltd........................................................... 25
Yen Shin Gee Enterprise Ltd........................................................... 41 Yi Zi Shun Enterprise Co., Ltd......................................................... 45 Yiu Jia Industrial Co., Ltd................................................................ 41
Zinnica Industrial Co., Ltd.............................................................. 27
Taiwan Products is a full-color English-language feature publication. Each issue focuses on a leading export industry and related product lines. Features include latest products, online deals, Taiwan Excellence Award Winners, and information on manufacturers and exporters.
Please fax your order to : ( 886-2 ) 2725-1319 or Email to : bookstore@taitra.org.tw
Issue (Please tick the issues)
Unit price x Copy(ies)
Green Energy, Electronics, Computer, Communication and Peripherals
@US$30 x _______________
Hardware, Building Materials and Furniture
@US$30 x _______________
Bicycles and Sporting Goods
@US$30 x _______________
Machinery
@US$30 x _______________
Auto Parts and Motorcycles
@US$30 x _______________
Gifts, Stationery, Houseware, Cultural and Creative Products
@US$30 x _______________
Food & Food Machinery
@US$30 x _______________
Medical Equipment, Health Care & Biotechnology
@US$30 x _______________
Textile & Apparel
@US$30 x _______________
Taiwan Products
@US$30 x _______________
Annual subscription for the above 10 issues
US$ 300/year x _________
Please write in BLOCK CAPITALS or attach a NAME CARD Name ( Mr./ Ms. ) : ____________________________________ Title :_______________________ Company Name : _________________________________________________________________ Address : _______________________________________________________________________ City : ___________________________________ Country : _______________________________ Tel : _______________ Fax : _______________ E-mail : _________________________________
»»»» I wish to pay the amount US$ __________________ by: Payment transferred by T/T to TAITRA’s account no. 46217000001–7 at Taipei Fubon Commercial Bank, Xinsheng Mini-Branch, Taiwan (swift code: TPBKTWTPA462) ＊All banking charges, if any, are to be borne by you.
CREDIT CARD :
Visa
Master Card
JCB
Exp. Date( mm/yy) : ______ / ______
Card No. ____.____.____.___｜___.____.____.___｜___.____.____.___｜___.____.____.____ Signature: ___________________________________ Date: ____________________________