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We request that you fax this form back to us at 206-405-2671. Thank you.

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Kyokuyo America Corporation
1200 Fifth Avenue, Suite 1575
Seattle, WA 98101-3131

Phone: 206-405-2670
Fax: 206-405-2671
sales@kyokuyoamerica.com

Kyokuyo America Corporation | 1200 Fifth Avenue, Suite 1575 Seattle, WA 98101-3131 | Phone: 206-405-2670 | Fax: 206-405-2671 | sales@kyokuyoamerica.com