FACIMILE ORDER SHEET FAX.03-3402-3914 Print out this page, and after filling in the required matter, please send to us.

Application day Name/ Address/ TEL． FAX. E-mail address/ Receiver's address (Please enter, when a receiver's address differs from the above.) Name/ Address/ TEL. FAX. E-mail address/ Order goods (Check the items) Brand name Order number/Color Quantity Price Request matter/ Payment/Delivery (Check the items) Method of payment Price exchange Mail transfer (JAPAN POST BANK) Bank transfer Credit card (KURONEKO web collect) The day wishing delivery/ Delivery time During the morning 12:00〜14:00 14：00〜16:00 16:00〜18:00 18:00〜20:00 20:00〜21:00 As soon as we accept the order, we send the estimate by facimile, or e-mail. A delivery day may be changed on account of stock or delibery. Net Shop HARA DESIGN HARA YOSHITERU DESIGN OFFICE INC. 2-21-15, Jingumae, Shibuya-ku, Tokyo, 150-0001Japan TEL.03-3402-3930　FAX.03-3402-3930 http://www.hara-design.co.jp/ E-mail info@hara-design.co.jp