This is the order form for fax or s-mail.
By the way, as far as you provide us with all the necessary information, you do not need to use this form.
Your name:_____________________________________________________
Address:_______________________________________________________
City:________________________State___________Zip:______________
Country (if not USA):__________________________________________
Daytime Phone:_________________________________________________
(In case we have questions about your order)
E-mail Address:________________________________________________
Method of Payment (please circle one): Check, Money Order, Amex, Visa, Master, Discover.
Credit Card #:_________________________________________________
Exp Date:_________ (VERY IMPORTANT)
Item(s):_______________________________________________________
Total of Items($):__________________ (CT Residents: Add Sales Tax: 6%)
S&H($):________________ (International Customers: Please Double S&H)
(We will give you a discount on the shipping whenever we can save the cost by mailing the items together).
TOTAL:__________________
Please fill out, and mail or fax to:
Japan Culture Club
78 Coles Street
Jersey City, NJ 07302 USA
Fax: 1-617-812-5575
If you have any questions, please e-mail us.
Go back to the Catalog on the Web.
Go back to Japan Culture Club Home Page.
