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Contact, the purchase

Contact form

About the input is careful

(1) ※The seal is a required item. Please input by all means.
(2) Please input all the katakana with full size.
(3) Please input a phone number (home or cell-phone) to get of the communication into a phone number column by all means.
(4) If input is over, please click "the contents confirmation" under the form.
(5) As contents confirmation screen opens, after confirming input contents, I click "the transmission" and am completion.
The name ※required
Example) Taketoshi Luo Reiko
Furigana ※required
(Katakana)
Example) burirareiko
Zip code
Example) 012-3456
The metropolis and districts
Municipality
Address, name
Phone number
Example) 012-345-6789　※A cell-phone is possible
E-mail address ※required


※I reinput it for confirmation
Return address you like
Contact item ※required
Product number
Contents ※required
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