Order form

Customer Information

■Is required.

First Name
Phonetic Spelling
Your company name	If you are an individual, please write "individual"
Your company name
Industry
Postal Code
Address
Phone Number
FAX
Email Address

Delivery(It will be delivered by courier.)

delivery date	After payment is confirmed, it will be shipped in the shortest possible time. * Please enter your desired delivery date in the remarks column.
Delivery time	Delivery time is morning arrival. (Not guaranteed.) Delivery time may be delayed due to traffic conditions. Please fill in the remarks column for the desired time other than morning arrival.
Shipping address	Same as customer informationSpecify a different shipping address *If you have selected a different delivery address, please enter the delivery address.
Postal Code
Address

Products

*If ordering as a set, please enter the quantity for both.

Chrome-plated wagon (body)	Quantity:
Chrome-plated wagon (upper basket)	Quantity:
Chrome Plated Wagon (Body/Upper Basket Set)	Quantity:

Panel output sheet Size: A1	Quantity:
Panel output sheet Size: A2	Quantity:
Panel output sheet Size: A3	Quantity:

Payment method

Select payment method	Bank TransferCredit card transaction

Other Information

Remarks column

This is a customer-specific form.
Please refrain from contacting us for the purpose of sales, as we cannot respond to inquiries.

If you do not receive an e-mail from our company or an automatic reply e-mail, it may have been automatically sorted into the spam folder or trash box, so please check it once.

No confirmation screen will be displayed.
Please check the box if the above information is correct.

order form

Customer Information

Delivery(It will be delivered by courier.)

Products

Payment method

Other Information

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