Subject: Bombshell Order 75414
From: JotForm <[email-masked]>
To: [email-masked]
Date: Wed, 11 Apr 2018 10:11:21 -0400

| | BOMBSHELL CUSTOMER SERVICE REQUEST

What needs to be done | Others
Order Number | 75414

Describe what needs to be done

Hi Sheri,

Please send this order to below mentioned address:

1. Full name - Yuki Furuichi

2. Street address - SR BUILDING 3F, 1-8-1 Kaji-cho

3. City - Chiyoda-ku

4. State/province - Tokyo

5. Zip/postcode - 101-0044

6. Country - Japan

Thanks!!

| |