REQUEST FORM of car you are looking for

Please send us your request specifically, such as Name, Model, Years..... of car you are looking for. So, we will do our best to offer you good car in accordance with your request. Please push "SEND" button after completed this form accordingly.

*	*	*	required ( * )
1	Your name		*
2	Company name		*
3	You are ......	Please select Car importer Car dealer Private importer (Re-sell bases) Individual person (Personal use)	*
4	Address		*
5	State		*
6	Country		*
7	e-mail	* no space at left side	*
8	e-mail again (confirm)	* no space at left side	*
9	Tel number		*
10	Fax number		*
11	URL		*
12	Mobilephone number		*
13	Maker	Please select maker Toyota Nissan Mitsubishi Honda Daihatsu Subaru Mazda Eunos Hino Fuso Isuzu European USA Other ex."Toyota","Nissan"......	*
14	Model (Grade)	ex. "Callora", "Sunny"..	*
15	Year of Model	Please select year 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 & Later	*
16	Body color	ex. "Any", "Except white"	*
17	Type of transmission	Please selecttransmission Manual Automatic MT/AT	*
18	Acceptable Max.Km.	ex."100,000 Km"	*
19	Type of engine	Please select type Petrol Diesel	*
20	Port of destination		*
21	Shipping terms	Please select FOB Japan CIF destination C&F destination	*
22	Currency	Please select US dollars Japanese yen	*
23	Message (If you have)		*

Copyright ( C ) /2006 All right Reserved

Fullhouse International Limited operates with Permission from Gunma Public Safety Commission.
Reg. No. 421110199800