e`w Order Form@81-3-5652-6869
Nihonbashi
Iwayama Building,
1-6-9 kakigaracho
Nihonbashi,
Chuo-ku, Tokyo
103-0014
JAPAN
Tel: 81-3-5652-6868
Fax: 81-3-5652-6869
We accept your order by
fax.
Please fill this form
and fax us.
Order by fax is available
in 24 hour!
.
Please be careful
to not make mistake with our fax number.
We
protect customer's personal
information.
@
You should be receiving a Fax or an e-mail confirmation
of your order in 48 hour.
Name of item
@ Product Number @@@@Price
1.
2.
3.
Your Name
¨
E-mail address (if you have)
¨
Telphone number^FAX number
¨
Method of payment
note: The payment must be
advanced payment.
Consumption taxes and shipping charge are on your nickel.
Credit Card
( VISA MASTER DinersClub@ JCB@ AMEX)
yShipping Addressz@@@@@
Zip code
¨
Shipping Address
¨
Your instruction for shipping
Please write when your address and recipient's address are
different.
Recipient's Name
¨
Zip Code
¨
Recipient's address
¨
|
e`w Order Form@81-3-5652-6869
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