Upon completion, please fax Escrow Order Form along with Purchase Order and Pro-Forma Invoice to
LookChem Fax: 86-571-87562572

Escrow No.: ES-

ESCROW – ORDER FORM

1) Buyer's Information

Company Name:
Registered Address:
Country: / Zip:
Contact Person: / Job Title:
Tel. No.: / Fax No.:
Email Address:

2) Seller's Information

Company Name:
Registered Address:
Country: / Zip:
Contact Person: / Job Title:
Tel. No.: / Fax No.:
Email Address:
Bank Name: / Swift Code:
Account Name:
Account Number: / Currency of Account :
Bank Address:

3) Purchase Order Details

Product Purchase Order Reference No. (Please Attach A Copy Of Purchase Order ):
CAS No. & Product name / Description / Quantity / Amount (USD)
Specification / Delivery time / Package / Else
(1) Payment For Goods

(2) Escrow Charges Will Be Paid By Buyer Seller

(3) Transfer Fee Will Be Paid By Buyer Seller

Total Amount To Be Paid By Buyer

Total Amount To Be Received By Supplier

4) Transaction Arrangements

Preferred Inspection Period

*(Suggest: 10 Business Days--From The Buyer Has Received The Goods)*

*This Time Means The Buyer Is In Agreement With LookChem To Pay To The Seller.*
.* / _____ Business Days
Please Choose Test Organization Accepted By Both If The Dispute Appears. (Such as SGS etc.)
Please Decide Who Will Undertake The Testing Fee If The Dispute Appears. / Buyer Seller

The Period For Dealing With Goods Dispute.

/ _____ Business Days

Please Decide Who Will Pay For The Shipping Cost If The Goods Should Be Sent Back.

/ Buyer Seller

Which Delivery Company Will Be Used?

/ Fedex UPS
DHL
Other: ______

5) Delivery Guarantees

Supplier will Reship/Refund/Other if package is detained by customs longer then XXX

days.

.*

/

______Days allowed for delivery.

If Items detained beyond agreed time frame, supplier will do?

/

Refund payment,

Reship product,

Refund ____% of payment,

Etc..

Who will pay for the shipping fees if item is reshipped?

/

Buyer Seller

Buyer ____% and Seller ____%

Who will pay associated fees for the refund?

/

Buyer Seller

Buyer ____% and Seller ____%

6) Others(If you have special requires about your goods, please write down.)

*** Inspection period is the amount of time agreed to by both parties in which the Buyer may examine the goods.***

*** Inspection period is the appointed time for good inspection. If the time is overdue, LookChem still do not get the payment notice from the buyer, meanwhile the buyer and the seller can't reach an agreement, LookChem will acquiesce in payment that is to seller. ***

Please fill in all of the above terms and verify accurately, it is effective after the buyer and the seller affix your seal or signature.

Bank Details:

Account number:1202022109814021214

Beneficiary: Hangzhou Lookchem Internet Technology Co., Ltd

Add: 80G, No. 1 Building, Guodu Development Mansion, No. 182 Zhaohui Road, Hangzhou City, Zhejiang Province ,China.

Swiftcode: icbkcnbjzjp

Bankname: Industrial and Commercial Bank of China HangzhouZhaohuisub-branch

Bankadd: No.220zhaohuiRD,xiachengdistrict,Hangzhou city, Zhejiang Province ,China.