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