CONFIRM PAYMENT Please Fill This Form Please send money transfer receipt to uzicosmetic.mkt@gmail.com or Line@: @uzi_cosmetic Name Contact Order Amount Bank Account Kasikorn Bank 020-2865-526 UZI Cosmetic co., Ltd. Bangkok Bank 030-8062-199 UZI Cosmetic co., Ltd. Krungsri Bank 769-1043-715 UZI Cosmetic co., Ltd. Siam Commercial Bank 407-6418-552 UZI Cosmetic co., Ltd. Transfer Date Time 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Payment Slip Remark