FAX Order Form


Do prefer paying by International Postal Money Order?
It’s simple!

Print this form and fill it out by hand, then fax to:

Fax: 81-836-29-4581


Please send the International Postal Money Order to:

Payee’s Name: Far East Network Joint Enterprise Cooperative

Mailing Address: 4-6-1 Yamakado, Ube-shi, Yamaguchi, 755-0091 Japan

Your order will be shipped as soon as we confirmed the receipt of the
International Postal Money Order.

IMPORTANT: Please be advised that we are only able to accept payment
by credit card, VISA / MasterCard, or INTERNATIONAL POSTAL MONEY
ORDER (pink color). You can issue the International Postal Money
Order at any local post office. A local postal money order will not
be accepted since it is not negotiable outside the issuing country.


Item Name

Qty.

Price

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Total

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First Name:
Last Name:
Street Address:
City: State/Prov:
Zip/Post Code: Country:
E-mail: Phone:

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