CARD WELCOME


Please bill by credit card.

CAUTION!

Please print it out, fill out from below.
And send by facsimile.
* Send credit card information over the Internet can be risky.

JCB UC American Express

Name of Credit Card_______________________________
Card Account # _______________________________
Card Holder Name_______________________________
Expiration Date (Month/Year)______________ / ______________
Address_______________________________
TEL (Including area code)_______________________________
Country_______________________________
Zip_______________________________


ORDER

Item Price JPY (1)Quantity (2)Subtotal (1)x(2)Note



























Total____________________________
* Tax____________________________( Japan residents only )
* Shipping____________________________( Vary for weight(Kg) )
Grandtotal____________________________


'*' This price return to you by fax.


Fax # 81-236-235815(24hours)




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