オーダーフォーム / ORDER FORM
1.会員番号/Customer ID.
2.氏名/Name *
3.電話番号/mobile *
4.送金額/Amount *
5.入金情報/Payment info
Clear selection
6.送金受取人/Beneficiary *
※( Full Name )
7.送金理由 / Purpose Of Remittance *
受取方法変更の場合は【13番】へ / For change method of transfer go to #13
支店変更の場合は【16番】へ / For change branch go to #16
新しい受け取り人の場合 / New beneficiary
8.受取人電話 / Beneficiary's contact number
※First time consignee is needed to to put the contact number and address, no need for existing consignee
9.受取人住所 / Beneficiary's home address
※First time consignee is needed to to put the contact number and address, no need for existing consignee
10.送金人との関係 / Relationship
Clear selection
11.送金理由 / Purpose Of Remittance
Clear selection
12.送金資金/Source Of Funds
Clear selection
13.受取方法/Method Of Transfer
Clear selection
Clear selection
Account Name
※Please do not forget to fill the bank info completely
BANK
※Please do not forget to fill the bank info completely
Branch
※Please do not forget to fill the bank info completely
Account Number
※Please do not forget to fill the bank info completely
14.領収書の有無/receipt
Clear selection
15.住所変更はありますか?/ Change Address?
※Please kindly send a copy of your updated ID thru fax ( 03-5820-0345 )
Clear selection
16.支店変更の場合 / For change branch
備考
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