Contact　En – 買取トラスト

Full Name (Required)

furigana (optional)

Phone number or e-mail address required

Zip code (required *No hyphen required)

Address (required)
　

Identification documents (attached) (required)

※Select files

Application Amount ( Required)

Gift certificate number 1

Gift certificate face value 1

Gift certificate number 2

Gift certificate face value 2

Gift certificate number 3

Gift certificate face value 3

Gift certificate number 4

Gift certificate face value 4

Gift certificate number 5

Gift certificate face value 5

Gift certificate number
6

Gift certificate face value 6

Gift certificate number 7

Gift certificate face value 7

Gift certificate number 8

Gift certificate face value 8

Gift certificate number 9

Gift certificate face value 9

Gift certificate number 10

Gift certificate face value 10

Add a payment method item (required)

※-Please select one of the following

Bank transfer information (optional)

Bank Name

Branch name

Account type

Account No.

Account Name

Attachment (optional)
※Select files

※Please attach an Excel file with the date/name/gift code.