(Please print out this page to use for FAX order.)
(Please print out this page to use
for FAX order.)
| Company/Shop Name: |
Contact Person's Name: |
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Shipping Address: |
Postal Code: |
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| Telephone: |
Fax: |
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| E-mail: |
Website: |
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| Please fill in the number of Yukata you will purchase under each category. | ||
| Classic Hand Dyed: Order Qty _______ Lady's S - Blue _______ Lady's M - Blue _______ Lady's L - Blue _______ Lady's XL - Blue |
_______ Lady's S - Red _______ Lady's M - Red _______ Lady's L - Red _______ Lady's XL - Red |
_______ Lady's S - Purple _______ Lady's M - Purple _______ Lady's L - Purple _______ Lady's XL - Purple |
| _______ Men's S _______ Men's M _______ Men's L _______ Men's LL _______ Men's XL |
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| Print: Order Qty ______ Lady's S ______ Lady's M ______ Lady's L |
______ Men's M ______ Men's L ______ Men's LL |
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Total Order Qty: _______ |
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| Message Box : |
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6-12-11 Meguro-HonchoMeguro-ku, Tokyo 152-0002
Japan
Tel: +81 3 3712 1283
Fax: +81 3 3712 1284
E-mail:
customer_servicer@kusakusa-yanagi.com
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