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Image of store interior and exterior.Please attach your images to listed below.(Maximum of 5MB)

Publication・(Magazine, Television, Internet, Other)
 Magazine Television Internet Other
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If a model will be wearing the clothing, what is the model’s name?

Period of Publication/ (from Y/M/D ~ until Y/M/D)

How long will you need item for media use/ (from Y/M/D ~ until Y/M/D)

Requested Item/ (Product Name, Colour, Size, Quantity)

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