Order Sheet

If you would pay by your VISA/MASTER card,
please print this sheet and send us
a FAX for your security, as follow:
<Exemple for fax> which is registered with your card company
Name:  

Zip and Address:

 
TEL:  
FAX:  
e-mail:  
VISA or MASTER:  
Card No(16 figures):  
The date valuable:(ex. 06/16)month/year  
The title of the DVD and quantity:  
   
   
   
   
   
  As soon as your fax arrives, we will send you a e-mail or a fax to confirm and DVDs. Shipment takes one week at latest.
 

Ufer! Art Documentary FAX +81-75-253-3911
21 Hirokoji-sagaru, Kawaramachi, Kamigyo-ku Kyoto 602-0858 JAPAN