Main 
Hokkaido Koshimizu-cho, Shari-gun koshimizu (2 ku)
099-3623
| Your name Your address |  |
| NAME | |
| (St.Address,) Koshimizu , Koshimizu-cho, Shari-gun, Hokkaido 099-3623 Japan | |
北海道 斜里郡小清水町 小清水(2区)
Main Hokkaido Koshimizu-cho, Shari-gun koshimizu (2 ku)
| Your name Your address | |
| NAME | |
| (St.Address,) Koshimizu , Koshimizu-cho, Shari-gun, Hokkaido 099-3623 Japan | |
北海道 斜里郡小清水町 小清水(2区)