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The reason why is because Japanese merchant companies don't do that in the moment for clients outside Japan but I believe if you are a US company you could talk to surepay.com and then just design your Japanese interface.
I would not say they are a cheap solution, but they do allow us to bill in three currencies (USD, Yen & AUD). They also have the option for mail order entry (this is an extra).
They were up front with their fees and you can talk to them on the phone.
I found most of the others were very limited or seemed to be just as expensive or (more so) once you factored in the fees.
So far the account is not going, they have asked many detailed questions about the products and services we sell. They want to charge additional fees for each web site shop we wish to use it with (something I don't remember seeing in the application).
Thus so far I would not recommend them.