ORDER FORM

ATTENTION !
If you can't send us by this order form, please send us by e-mail (info@moritakahamono.com).
When you send us e-mail , please put @@@ on the head of the subject to prevent your message from deleting without being read. ( Because we have received many annoying mails from overseas. )


Content of order
(1) Item Code : Brand Name : Quantity :

(2) Item Code : Brand Name : Quantity :

(3) Item Code : Brand Name : Quantity :

(4) Item Code : Brand Name : Quantity :

* In the case of your kinds or more, please fill in the following MEMO, or transmit dividing into several-time.
* In the case of made-to-order, please fill out your specifications e.g. shape(length, width etc.), materials etc. in MEMO.

Customer Information
Full Name :
e-mail address :
Address :
City :
State / Province / County :
Postal / Zip code :
Country :
Phone Number :
Payment method :
MEMO :
opinion, impression, your dominant hand, estimation, question etc.