Alibaba.

com Gold SupplierTM Services Order Form

The GOLD SUPPLIER membership and value added services will be provided by Alibaba.com Singapore E-Commerce Private Limited if you are outside of India and by Alibaba.com
India E-Commerce Private Limited if you are from India (each Alibaba contracting entity being referred to as Alibaba.com) in accordance with the attached Alibaba.com GOLD
SUPPLIER Services Agreement (Agreement). By signing and returning this Order Form to Alibaba.com or its authorized distributor, you accept and agree to be bound by the
Agreement. Acceptance of the order for the GOLD SUPPLIER Service is subject to the Authentication and Verification by Alibaba.com. In case of failure in the Authentication and
Verification, Alibaba.com will charge additional charges in accordance with clause 2 of the Agreement.

Applicant Information
Alibaba.com Member ID: Contract No.:

Full Registered Company Name:

Contact First Name: Last Name:

Please make sure your company name and business address is complete and
Job Title:
legally registered.
Mobile: Please make sure the contact name is the full and official name.
Business Phone: Please make sure your business telephone number is listed under your
company name on a public telephone directory or a telephone directory on
Business Fax: Internet.
Business Email: Such information should be updated if you had changed your company
address, telephone number, etc.
Alternative Email (if any): If the company or contact name is not correct, your application might fail.

Company Address:
Subscription Information

GOLD SUPPLIER (Package: Basic Standard Premium )

Subscription Period: year(s)
Service Fee (tax exclusive): Tax Fee: Total Fee (service + tax fee)

Value Added Services

Subscription Total Fee
Service Service Fee Tax Fee
Period (service + tax fee)
Extra Inquiries: To help Gold Suppliers increase exposure of their products and/or
services, Alibaba.com will cooperate with external website(s), prioritize recommendations
internally, and/or use any other method so as to direct potential buyer inquiries to Gold
Suppliers on the Website
Product Showcase: To place products of Gold Suppliers in priority ranking on the Website.
Extra Quotation Service: To channel relevant requests for quotation (RFQs) by potential
buyers to Gold Suppliers so that Gold Suppliers may be able to provide quotes to them based
on the specifications indicated in such RFQs, through the Website.

Total Fees (Service Fee + Tax Fee):

Method of Payment:
1) Bank transfer to: Bank: BCA CAB. WISMA MULIA
Bank Address: JAKARTA
Account Name : PT. GLOBAL JET EXPRESS
Account No.: 503 -521 - 3390
SWIFT No.: CENAIDJA
2) Crossed cheque payable to:

Remarks:

For any queries relating to this Order Form and the application process, please contact our authorized reseller:
Name of Reseller: PT. GLOBAL JET EXPRESS
Address of Reseller: Landmark Pluit Tower B1 lt. 3 Pluit Penjaringan Jakarta Utara DKI Jakarta 14450
Contact: HERNA
Tel: 021-29071999 Mobile: 087882493909
Fax: Email: herna.julianti@globaljet.co.id

We have read the Alibaba.com Gold Supplier Services Agreement and, if any, the supplementary terms (attached) and agree to be bound by it.
We agree to receive emails relating to membership and other services from Alibaba.com and its affiliates.
For and on behalf of Applicant:
Signature (& Chop): Date:

Stamp office & sign customer

Applicants Authorized Representative
GGS-201708
ALIBABA COPY
For and on behalf of Authorized Reseller:
Signature (& Chop): Date:

Stamp office
& sign pusat HQ
Authorized Resellers Authorized Representative
 Alibaba.com Gold SupplierTM Services Order Form
The GOLD SUPPLIER membership and value added services will be provided by Alibaba.com Singapore E-Commerce Private Limited if you are outside of India and by Alibaba.com
India E-Commerce Private Limited if you are from India (each Alibaba contracting entity being referred to as Alibaba.com) in accordance with the attached Alibaba.com GOLD
SUPPLIER Services Agreement (Agreement). By signing and returning this Order Form to Alibaba.com or its authorized distributor, you accept and agree to be bound by the
Agreement. Acceptance of the order for the GOLD SUPPLIER Service is subject to the Authentication and Verification by Alibaba.com. In case of failure in the Authentication and
Verification, Alibaba.com will charge additional charges in accordance with clause 2 of the Agreement.

Applicant Information
Alibaba.com Member ID: Contract No.:

Full Registered Company Name:

Contact First Name: Last Name:

Please make sure your company name and business address is complete and
Job Title:
legally registered.
Mobile: Please make sure the contact name is the full and official name.
Business Phone: Please make sure your business telephone number is listed under your
company name on a public telephone directory or a telephone directory on
Business Fax: Internet.
Business Email: Such information should be updated if you had changed your company
address, telephone number, etc.
Alternative Email (if any): If the company or contact name is not correct, your application might fail.

Company Address:

Subscription Information

GOLD SUPPLIER (Package: Basic Standard Premium )

Subscription Period: year(s)
Service Fee (tax exclusive): Tax Fee: Total Fee (service + tax fee)

Value Added Services

Subscription Total Fee
Service Service Fee Tax Fee
Period (service + tax fee)
Extra Inquiries: To help Gold Suppliers increase exposure of their products and/or
services, Alibaba.com will cooperate with external website(s), prioritize recommendations
internally, and/or use any other method so as to direct potential buyer inquiries to Gold
Suppliers on the Website
Product Showcase: To place products of Gold Suppliers in priority ranking on the Website.
Extra Quotation Service: To channel relevant requests for quotation (RFQs) by potential
buyers to Gold Suppliers so that Gold Suppliers may be able to provide quotes to them based
on the specifications indicated in such RFQs, through the Website.

Total Fees (Service Fee + Tax Fee):

Method of Payment:
1) Bank transfer to: Bank: BCA CAB. WISMA MULIA
Bank Address: JAKARTA
Account Name : PT. GLOBAL JET EXPRESS
Account No.: 503 -521 - 3390
SWIFT No.: C E N A I D J A
2) Crossed cheque payable to:

Remarks:

For any queries relating to this Order Form and the application process, please contact our authorized reseller:
Name of Reseller: PT. GLOBAL JET EXPRESS
Address of Reseller: Landmark Pluit Tower B1 lt. 3 Pluit Penjaringan Jakarta Utara DKI Jakarta 14450
Contact: HERNA
Tel: 021-29071999 Mobile: 08788248 3909
Fax: Email: herna.juliantiobaljet.co.id

We have read the Alibaba.com Gold Supplier Services Agreement and, if any, the supplementary terms (attached) and agree to be bound by it.
We agree to receive emails relating to membership and other services from Alibaba.com and its affiliates.
For and on behalf of Applicant:
Signature (& Chop): Date:

Materai 6000, stamp & sign customer

Applicants Authorized Representative

GGS-201708
RESELLER COPY
For and on behalf of Authorized Reseller:
Date:

Stamp & sign HQ

Authorized Resellers Authorized Representative
 Alibaba.com Gold SupplierTM Services Order Form
The GOLD SUPPLIER membership and value added services will be provided by Alibaba.com Singapore E-Commerce Private Limited if you are outside of India and by Alibaba.com
India E-Commerce Private Limited if you are from India (each Alibaba contracting entity being referred to as Alibaba.com) in accordance with the attached Alibaba.com GOLD
SUPPLIER Services Agreement (Agreement). By signing and returning this Order Form to Alibaba.com or its authorized distributor, you accept and agree to be bound by the
Agreement. Acceptance of the order for the GOLD SUPPLIER Service is subject to the Authentication and Verification by Alibaba.com. In case of failure in the Authentication and
Verification, Alibaba.com will charge additional charges in accordance with clause 2 of the Agreement.

Applicant Information
Alibaba.com Member ID: Contract No.:

Full Registered Company Name:

Contact First Name: Last Name:

Please make sure your company name and business address is complete and
Job Title:
legally registered.
Mobile: Please make sure the contact name is the full and official name.
Business Phone: Please make sure your business telephone number is listed under your
company name on a public telephone directory or a telephone directory on
Business Fax: Internet.
Business Email: Such information should be updated if you had changed your company
address, telephone number, etc.
Alternative Email (if any): If the company or contact name is not correct, your application might fail.

Company Address:

Subscription Information

GOLD SUPPLIER (Package: Basic Standard Premium )

Subscription Period: year(s)
Service Fee (tax exclusive): Tax Fee: Total Fee (service + tax fee)

Value Added Services

Subscription Total Fee
Service Service Fee Tax Fee
Period (service + tax fee)
Extra Inquiries: To help Gold Suppliers increase exposure of their products and/or
services, Alibaba.com will cooperate with external website(s), prioritize recommendations
internally, and/or use any other method so as to direct potential buyer inquiries to Gold
Suppliers on the Website
Product Showcase: To place products of Gold Suppliers in priority ranking on the Website.
Extra Quotation Service: To channel relevant requests for quotation (RFQs) by potential
buyers to Gold Suppliers so that Gold Suppliers may be able to provide quotes to them based
on the specifications indicated in such RFQs, through the Website.

Total Fees (Service Fee + Tax Fee):

Method of Payment:
1) Bank transfer to: Bank: BCA CAB. WISMA MULIA
Bank Address: JAKARTA
Account Name : PT. GLOBAL JET EXPRESS
Account No.: 503 -521 - 3390
SWIFT No.: C E N A I D J A
2) Crossed cheque payable to:

Remarks:

For any queries relating to this Order Form and the application process, please contact our authorized reseller:
Name of Reseller: PT. GLOBAL JET EXPRESS
Address of Reseller: Landmark Pluit Tower B1 lt. 3 Pluit Penjaringan Jakarta Utara DKI Jakarta 14450
Contact: HERNA
Tel: 021-29071999 Mobile: 087882483909
Fax: Email: herna.julianti@globaljet.co.id

We have read the Alibaba.com Gold Supplier Services Agreement and, if any, the supplementary terms (attached) and agree to be bound by it.
We agree to receive emails relating to membership and other services from Alibaba.com and its affiliates.
For and on behalf of Applicant:
Signature (& Chop): Date:

Stamp & Sign Customer

Applicants Authorized Representative
GGS-201708
CUSTOMER COPY
For and on behalf of Authorized Reseller:
Signature (& Chop): Date:

Materai 6000 , Stamp & Sign HQ

Authorized Resellers Authorized Representative