ORDER FORM

Order method
Please complete all sections.

I would like to pay by credit card /cash /Cash on delivery.
Please copy this page, and send us by the facsimile
if the card does not want to be settled.
FAX namuber is
81-427-93-5520
Informs of the confirmation and the amount of
money of the commodity number .
I will confirm the payment method.
Visa Credit Card Number Valid through
/
MasterCard Credit Card Number Valid through
/
The delivery charge consumption tax is not included in the price

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Thank you very much