FAX ORDER FORM	Please fax 03-3700-5591
	ZENSEI-SHA 2-9-15, Tamagawa, Setagaya-ku, Tokyo 158-0094, JAPAN
Purchaser
Name
	Mr. Mrs. Ms
Address
City
State
Zip code
Country
Phone
Fax
E-mail
Title(s)	check title copies ORDER, SPONTANEITY AND THE BODY COLDS AND THEIR BENEFITS SCOLDING AND PRAISING OTHER
	Please print and fax to 03-3700-5591