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