Order Form

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Order Form

Your name (*)
company code
Studio Name
Address(*) Zip code:

Prefecture:
city:
Address:

phone(*)
Fax
E-Mail Address (*)
Order
*Please chose the merchandise of your order and enter all necessary information.
When there is any missing information, delivery may take time.
Please choose this section only when you would like to place a special order of dyeing for stain material shoes.
Some products do not have slim width, so please check with the product catalog.

Shoes1
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes2
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes3
Shoes
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes4
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes5
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes6
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes7
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Shoes8
Shoes:
Color:
Heel: cm 
Size: cm
Width:
Number:
Shoes9
Shoes:
Color:
Heel: cm
Size: cm
Width:
Number:
Original Accessories
item:
Color:
Color:
Number:
Original Accessories
Item:
Color:
Number:
Original Accessories
Item:
Color:
Number:
The delivery hope date and time month: day:  
Time:
*When the desired date and time of delivery, depending on the stock status and contents of your order may not be guaranteed on request.
*Desired time delivery are subject to change, depending on road conditions and circumstances of the carrier.
Message
Confirmation
Please click the check box if it is good in the above-mentioned contents.

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