Publication Ordering Form



To: President of the Health and Welfare Statistics Association

FAX: 03-3584-4710

Date________Month________Year__________
 Your Address
 Name of Organization/
Company/
Individual
 
 Your Name/
in charge of this order
 
 Telephone Number FAX 
 Membership
code number
 

 

Ordering List
Title of PublicationYearNumberRemarks
    
    
    
    
    

Method of Payment
(Check the box on the right)
BankPostal Giro Shipping Charges
(fill by Association )
   
In Japan, it may take 1week -10 day for shipping after receiving your order.
You are kindly requested to afford the shipping charges.
Payment through bank, you are requested to afford the bank's charge
for sending money.
Please note that we could not accept the return of shipped publications
due to your reasons. Please make sure the ordering list completed before
sending it by facsimile.
If there is a missing and other default on the shipped publication,
we will resend it at our burden.
You are in a hurry to get our publications, please visit the nereby
book shops and give your order. Our publications and periodicals can be
ordered at any book shops in Japan without shipping charges.

General Affairs Division
Health and Welfare Statistics Association
5-13-14, Roppongi, Minato-ku, Tokyo
Tel.: 03-3586-3361
Homepage: http://www.hws-kyokai.or.jp/

 
Form for FAX use