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E-mail Order Form for Magazine Subscription

Fill out this form if you want your magazine to be sent to a destination other than your address.

Method of payment: Postal money transfer  Bank transfer 
Name of bank and branch: bank branch
Name of the magazine you want:
Amount in yen:
Name of the applicant:
Your address:
※Destination to send your magazine to:
Phone No:
Fax No:
E-mail address:
Inquiry, if any:
 
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