Subscription Form

Title (Mr./Ms./Dr./Prof.)

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*Tel:

__________________

Address

______________________

*Fax:

__________________

______________________

*e-mail:

__________________

______________________

*this information is optional

Renewal ______ New ______

1 year

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(¥4,600, US$40.00/€42.00)

2 years

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(¥9,200, US$80.00/€84.00)

3 years

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(¥13,800, US$120.00/€126.00)

(1) Credit card: Visa ____ Mastercard ____

Number __________________________

Exp. Date _____

(please print clearly)

(2) Bank transfer

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(3) Check or money order

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(4) Postal deposit

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