|
name |
|
email |
|
sex |
Man
Woman |
age |
years old |
job |
|
Addressee |
Payment method
|
As for the use of automatic Hiot, "Automatic payment application" of the post
office is necessary for prior. |
Address |
Home
Office |
zip code |
|
Administrative divisions
|
|
County town and village in municipal district
|
|
Building and company name |
|
Telephone number |
|
Demand etc. |
|
- Please confirm the content of the input and push the following "
submit!" button.
- The content of the input can be confirmed on the following
confirmation screen.
|