Main 
Hokkaido Uryu-cho, Uryu-gun dai 10chonai
078-2641
| Your name Your address |  |
| NAME | |
| (St.Address,) Dai 10chonai, Uryu-cho, Uryu-gun, Hokkaido 078-2641 Japan | |
北海道 雨竜郡雨竜町 第10町内
Main Hokkaido Uryu-cho, Uryu-gun dai 10chonai
| Your name Your address | |
| NAME | |
| (St.Address,) Dai 10chonai, Uryu-cho, Uryu-gun, Hokkaido 078-2641 Japan | |
北海道 雨竜郡雨竜町 第10町内