NETSUKE THE TOKYO MEIKO KAGAMI
Order Form
To place an order, just complete the following information and
fax or mail to:
Shingo Yamaguchi,
Fax: +81 48 256 7444
E-mail: shingo5@mvc.biglobe.ne.jp
Shipping Address:
Name _____________________________________________________
Physical Address _________________________________________
City, State ______________________________________________
Zip/Postal Code, Country _________________________________
Daytime Telephone Number _________________________________
FAX Number (very important!) _________________________________
Email Address ________________________________________________
(very important; please print clearly!)
Order Information:
Quantity _________________________________
Payment Information:
__INTERNATIONAL POSTAL MONEY ORDER (IPMO)
__BANK TRANSFER
__PayPal Payment https://www.paypal.com/
* NO Check accepted
* NO Bank order accepted
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