IONAC Order Sheet
(Please pring out this page and fax to +49-511-8485345)

To:
Euro-Japan Handel
Talstrasse 4
D-30880 Laatzen Germany
Fax: +49(Germany)-511-8485345

<IONAC Shower Head>
Euro 129，-(including 19% VAT） ____piece（including 1 filter）

<IONAC Cartridge Filter>
1 piece Euro 77,- （including 19% VAT） ____piece
3 pieces set Euro 200,-（including 19% VAT) ____Set
Total Euro_______ ，___
* We take the Postage to EU countries.

1. Name : ______________________________________________________
2. Address : ____________________________________________________
_______________________________________________________________
3. Tel :_________________________ Fax: ______________________________
4. E-Mail: _______________________________________

5. Payment

Remittance
Account holder's name : Euro-Japan Handel
Bank Name : Sparkasse Hannover
IBAN : DE52 2505 0180 0900 0807 89
Account number : 900080789
Credit Card
　　VISA Master AMEX JCB
　　Card No. ＿ ＿ ＿ ＿ ＿ ＿ ＿ ＿ ＿＿ ＿ ＿ ＿ ＿ ＿ ＿
　　valid untill _____ ／ _____
　　Card holder _________________________________
　　Date of Order ___________________________________

　　Signature __________________________________