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Contact to Charlie hPIQUEh
¦Please write down in English or Espanol as possibe./‰Β”\‚ΘŒΐ‚θ‰pŒκ–”‚͐ΌŒκ‚Ε‚Μ‚²‹L“ό‚π‚¨Šθ‚’‚’‚½‚΅‚ά‚·B
*MAST/•K{
*NAME/ށ–Ό ©F@–ΌF
*TEL No./“d˜b”ԍ† || i”ΌŠp”Žšj
*MAIL ADDRESS/ƒ[ƒ‹ƒAƒhƒŒƒX i”ΌŠp‰p”Žšj
SEX/«•Κ MALE/’j«
FEMALE/—«
BIRTHDAY/Ά”NŒŽ“ϊ ”N ŒŽ “ϊ
POSTAL CODE/—X•֔ԍ† | i”ΌŠp”Žšj
ADDRESS/ZŠ
*INQUIRE/ŽΏ–β Please write down in English or Espanol as possible./ ‚²ŽΏ–βE‚¨–β‚’‡‚ν‚Ή(‚Ε‚«‚ι‚Ύ‚―‰pŒκ‚ΰ‚΅‚­‚͐ΌŒκ‚Ε‚¨Šθ‚’‚΅‚ά‚·)
*The date of send this inquire/–β‚’‡‚ν‚Ή‘—M“ϊ ”N ŒŽ “ϊ

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