Order Form

Please Fill this form above
After fill this form, please press order.

Name: Example)underson samuel (Plese put space between last name and first name)
Zip code(Postal code):Example)630-8253
Billing Adress:

Example)Nara-city Nashihara-cho 49

Phone Number: Example)+81-742-22-3327(Please write down your country code)
FAX #: Example)0742-26-2708(Please write down your country code)
Mail adress Example)aaaa@bbb.ne.jp Dont forget @
If you want to carbon copy, check please.

Please fill this form completely. If not, we cannot contact you.

Order form and Question formExample)No.001 Bamboo Brush (number of your order)

Please make sure that you dont have any mistake order.
When you finish press "order" Please

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