Quotation / Purchase Order Form
Quotation / Purchase Order Form
Inquiry □ Quotation □ Purchase Order
Date : / /
• Please complete this form and send us by e-mail (export@funakoshi.co.jp) or fax (+81-3-5684-6297).
• Product prices on this catalog and our website do not include shipping and handling charges, VAT, import tariffs and service charges, etc.
Submit this form to :
Export Deperpment, Funakoshi Co., Ltd
E-mail : export@funakoshi.co.jp
Fax : +81-3-5684-6297
Tel : +81-3-5684-6296
Payment method
□ Credit Card
□ Visa □ Master □ AMEX □ Diners Club □ JCB
□ Bank transfer
□ Check
Quotation inquiry form for US Dollar
|Item No. |Cat. No. |Description |Quantity |Each price |Total |
| | | | | |(Each price × Quantity) |
|1 | | | | | |
|2 | | | | | |
|3 | | | | | |
|4 | | | | | |
|5 | | | | | |
| |Subtotal | |
| |Shipping and Handling | |
| |Total price | |
※Above price does not include VAT, import tariffs and service charges etc.
※In case of the credit card settlement, the exchange rate on the date of the credit card payment applies.
Customer information
■Billing Address
|Name | |
|Title | |
|Institution / Commercial Name | |
|Address | |
|Country | |Zip code | |
|Phone | |FAX | |
|E-Mail | |
■Shipping Address (if different from above billing address)
|Name | |
|Title | |
|Institution / Commercial Name | |
|Address | |
|Country | |Zip code | |
|Phone | |FAX | |
|E-Mail | |
For further information, please contact us.
Funakoshi Co., Ltd.
9-7 Hongo 2-Chome, Bunkyo-ku, Tokyo, Japan, 113-0033
Export Department
E-mail : export@funakoshi.co.jp
Fax : +81-3-5684-6297
Tel : +81-3-5684-6296
We shall take the utmost care in preventing the disclosure, loss or damage of your personal information according to our personal information protection guidelines. For further information on the personal information protection guidelines, please visit our web site:
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