• (Required)Name of store：
•  

• (Required)Owner：
• (Required)  

• (Required)Contact person：
•  

• (Required)Type of store：
• Restaurants info
  Gourmet snacks
  Local specialty
  Souvenirs
  Others  

• (Required)Store introduction：
•  

• (Required)Business hours：
• 
   

• (Required)Telephone：
•    

• Fax：
•  

• Map ：
•  

• (Required)Affiliated administration：
• Please select the affiliated township Changhua City Lukang Township Hemei Township Beidou Township Yuanlin City Xihu Township Tianzhong Township Erlin Township Fenyuan Township Dacun Township Huatan Township Puyan Township Xiushui Township Fuxing Township Tianwei Township Xianxi Township Pitou Township Xizhou Township Shengang Township Zhutang Township Shetou Township Dacheng Township Yongjing Township Fangyuan Township Puxin Township Ershui Township  

• Postal code：
•  

• (Required)Store address：
•  

• Parking info：

• Store URL：
•  

• email：
•  

• Upload limited to 3 pictures. The format of the pictures have to be jpg, gif, or png and can be no larger than 3MB each. The caption must be filled for any given uploaded picture.

• Picture：
• Select files

• Caption：

• Picture：
• Select files

• Caption：

• Picture：
• Select files

• Caption：

• (Required)Verification code：
• 語音播放 看不清換一張
    Please enter the verification code shown in the graphic