| Date |
|
| Your full name |
|
| Your address in Japan |
|
| Your telephone No. in Japan |
|
| Destination country |
|
| Destination port |
|
| Make of car |
|
| Model |
|
| Chassis No. |
|
Batfa Japan Inc.
Tokyo - Japan
Tel : 03-3413-8080 Fax : 03-3413-8084
Delivery Receipt
Your Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _