カタログ請求

ORDER

自分の住所
14/11/97

Dear Sirs:

Please send me your latest catalog by airmail.
If your catalog is not free, you may charge me the appropriate amount using the following credit card information

Sincerely yours,
: Card name: VISA Card number: 0000 0000 0000 0000 Expiration date: 9/1/97 Cardholder's name: Teruo Shimada Cardholder's signature: _________________________ Looking forward to your reply, I remain , T. Shimada Yoyogi 5-25-4-306 Shibuya-ku Tokyo 151 Japan

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個人輸入

DEALER