FORM to MAIL

Billing Information

Please enter your billing information exactly.
We will dispatch your order item(s) after confirming the grand total of the price and informing it to you.
Please read the page of "how to order" first.

* Indicates required field


*Full Name		Please do not use any punctuation when you enter your name.
*Day Phone		Please do not use any hyphen here. Just enter the number only.
Home Phone
Fax
*Email
*Address line1
Address line2
*City
*State/Province/County
*Country
*Postal/Zip Code

* May I connect with you by fax in case of your email address does not work by any reason?
yes no

* Method of payment;
*Bank Transfer 　　　*Credit Card 　　　 *International Postal Money Order
For credit cards please proceed to the authentication procedure on the next page after sending this form.

* Additional comments or questions; Feel free to ask anything.

* How did you know our site?

* After confirming above information, Click "Order" button.

confirmation

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