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About the purchase

You have a customer understand it, and at first please contact me to make the finish going to the satisfaction.
We will inform you if you can input a phone number and an e-mail address than the following form.
The name ※required
※An example: Taro Yamada
Furigana ※required
※An example: Yamada Taro
Zip code
※An example: 123-4567
The metropolis and districts
Municipality
Address, name
Phone number ※required
E-mail address ※required



Only as for note) half size alphanumeric character
Contact information you like ※required
Time you like

※Please list only the customer who wishes to call
Remarks
Yakusen lime
〒759-2222
3362, Isachoisa, Mine-shi, Yamaguchi
TEL. 0837-52-1148
FAX. 0837-52-1125
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