Order Form
Order Product※

Item number 

Item name    

Item number 

Item name    

Item number 

Item name    

Home address & Shipping details
Full Name※

First 

Last 

Country※
Address※
Postal Code※
TEL No※
Fax No
E-mail※

When I deliver it to the place same as the above, please turn on a check

■ Shipping address
（If the Home address differs from the shipping address, please fill out this form）

Full Name※

First 

Last 

Country※
Address※
Postal Code
TEL No※
Fax No
E-mail※

■ Means of payment
（Please choose it among the following item）

Wire transfer to japanese bank

Paypal

In case of Paypal, 5% of total amount is added as a fee.
Please follow the instruction in the PayPal page.

Comments※
  
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