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User instructions are mostly written in Japanese. Voltage is 100110V (+/- 10%) no problem for USA or Canada.
Now, for countries with 220240V please use a step down transformer. The item "Bobby Dukoff Super Power Chamber D8 Alto Saxophone Mouthpiece + Box" is in sale since Tuesday, December 8, 2020. This item is in the category "Musical Instruments & Gear\Wind & Woodwind\Parts & Accessories\Mouthpieces". The seller is "hobbywelders" and is located in Tokyo.This item can be shipped worldwide.