Card Registration Form

Print out, Fill out, Fax Please.

Fax to ：81-466-25-6779

Name :

Card : VISA/MASTER/AMEX/JCB

Valid until (Year/Month) :

Card No.

Name on Card :

"Overseas Book/PC Shop"
Horibe-ya Ltd.
Fax: 81-466-25-6779
E-mail : horibeya777@cpost.plala.or.jp