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Description based on specific commercial transactions

Distributor

The method of filling out the form differs depending on whether you are a corporate business owner or a sole proprietor.

Column to be filled in (e.g. for corporate business owners)
- Sample Co., Ltd.

Fields to be filled in (e.g., if you are a sole proprietor)
- Sample site Sample Hanako *Please specify the site name and the contract holder name. (Please specify the same as the resident card)

Name of the General Manager

Sample Hanako

post code

〒000-0000

location

Sample 1-1-1, Shibuya-ku, Tokyo

Explanation of charges other than the product price

Delivery time

Payment Method

Credit card

telephone number

12-3456-7890

email address

返品・交換・キャンセル等

Qualifications and Licenses

  • Antique dealer license No. •••• Tokyo Metropolitan Public Safety Commission

  • Liquor Sales License Shibuya Law ••• Shibuya Tax Office

  • License for selling highly-regulated medical devices

License number No.

Sales Manager Name: Taro Wicks

Shibuya Public Health Center

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