Order Form

Deleting needless items is welcomed. (For short Fax) 

* code    *price  *quantity *sub-total *parcel post    *other

           (Yen)            (optional)  or small packet comments

                                       (optional)      (optional)

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*Total of goods ordered:            YEN

*Postage & Packing     :            YEN

*Grand total           :            YEN

*Payment methods (Credit card order Only.):

     1)  Card number :

     2)  Name :                       3)  Exp :

     4)  Signature :
          

*E-mail Address:     

*Name, Address, Zip/Postal Code, Country:







*Tel :

*Fax :

*Total instruction, comments(optional):