M&P Corporation
Fax Order Form

FAX No. 03-3471-0801

Please print out this form and fax to us.

Name
 Your Name
Company name
Section
　
Address
  
TEL
 　
FAX
 　
E-mail


(Our confirmation of your order will be sent to you by e-mail.)
Payment
 1. Payment at reception (cash)

2. Bank transfer (Mizuho Bank / Bank of Tokyo-Mitsubishi UFJ)
Your order
Ref. No.
Quantity
Product name
　 　 　
　 　 　
　 　 　
　 　 　
Comments