Order Form

is the necessary items needed to input.

Order Information
【商品名1】

Size
Color
Color
Color
Color
【Number】

Summary Amount:yen

【商品名2】

Size
Color
Color
Color
Color
【Number】

Summary Amount:yen

【商品名3】

Size
Color
Color
Color
Color
【Number】

Summary Amount:yen

【商品名4】

Size
Color
Color
Color
Color
【Number】

Summary Amount:yen

【商品名5】

Size
Color
Color
Color
Color
【Number】

Summary Amount:yen

【Payment method】

※Please know that the customer need to pay for the service charge in the case of bank transfer,
We will contact you later for the amount including the postage and the service charge.

※In the case of C.O.D., we will contact you later for the amount including the postage and service charge.

Post Information
Name
Furigana
Email address
Email address (for confirming)

Please input again for confirming

Tel.
Address

Note
Finish Please click the checkbox after you finish the form.
Summary amount yen

※The amount may change according to the postage / service charge. We will contact you after we receive this order mail.






Thank you for ordering goods.

Later on, we will contact you again from the person in charge.

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Access Time/Fare Information

Departure
after
Departure station
Destination station
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