Fax/Email 注文書 Fax/Email Order Form

　Fax/Email 注文書 Fax/Email Order Form
会員番号
日付
Membership Number :
Date :
会員氏名
統一番号
Name :
TAX No. :
電話番号
FAX番号
TEL :
EMAIL:
FAX :
受取人名
Cosignee :
送り先住所
Delivery Address :
商品番号
商品名
数量
単価
小計
Item No.
Description
Qty.
Unit Price
Sub Total
合計　/ TOTAL
Method of Payment :
□Electronic Transfer (*1) □American Express Card
□Costco Orico Master Card
The credit card holder must be same person as the Costco membership cardholder.
□Cash
Receive Method
□POWATAG (*2) （American Express only)
□DeliveryPreffered Date
□Visiting
1.
2.
3.
4.
5.
6.
7.
Please contact warehouse representatives for more details.
Take an order more than 30,000 yen.
Shipping fee will be charged to member.
All prices are with tax included.
Prices and products are subject to change. Please contact warehouse for the detail.
All purchase quantities should be counted at time of delivery. Costco will not be responsible for any discrepancies once the purchase has been received.
Costco provide members 100% satisfaction: We gutrantee your satisfaction on every product we sell with a full refund.
To return a product purchased through the Costco Business Delivery, please bring the product in its original oachaging(including its warranty letter)
to the in-store return exchange counter within 30 days.
(Please bring your receipt. If the purchase was made with credit card, the credit card holder should bring
the card with him/her when refunding.)
※Within 30 days will be counted from the date you receive the merchandise you ordered.
(*1) For electronic transfer, please contact our representatives at Warehouses.
(*2) POWATAG is the mobile platform that enable to use to pay at anytime and anywhere with your mobile.

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