E-mail Order Form for Magazine Subscription　－JAPAN PUBLICATIONS TRAINDING CO.,LTD.

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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：