Order Form

Order Form

You can send this order form by clicking the button
below or you may print out the form provided and fax us.

F.A.O.Shiro Industry Co. TEL 0729-64-8663 FAX 0729-61-4874

Name
Company name	※You may leave this blank if not applied by company
Department
Post code
Address
ＴＥＬ
ＦＡＸ
e-mail
Would you like to subscribe our mail magazine.yes　no

Please let us hear of your opinions etc.

Product Name	Product number	Amount	Price

			YEN
			YEN
			YEN
			YEN
			YEN
			YEN

Require the copy of this form

We may confirm the order within 1-2 working days upon receipt of this order form.
We will also inform you of the way of payment, bank details etc.
Products will be shipped upon receipt of charges paid in full to the bank account or you may choose cash on delivery post.

If you have a difficulty sending through this form, please send us all required details and send email to
shiro.s@viola.ocn.ne.jp

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