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Please print out and use it. |
| CROSSWING ORDER FORM |
| FAX 81-864-35-9150 | |||||
| ITEM NUMBER | DESCRIPTION | QUANTITY | PRICE EACH | TOTAL PRICE | |
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| PAYMENT | VISA ･ MASTER ･ JCB ･ AMEX | ||
| CARD NO | - - - | GOOD THRU | M YEAR |
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1-4-23 HAMANOCHAYA KURASHIKI-CITY OKAYAMA JAPAN TEL 81-864-25-4511 FAX 81-864-35-9150 |
| Please fax 81-864-35-9150 after printing out this page and filling in a necessary matter at the fax order. |