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International Order Request form

→【The Process of your Order】
Please fill out the information in the【International Order Request form】and send it to us.
※Please fill out in English.
※All items are required to fill out.

Customer Information

Your customer information will be used by us for after-sales maintenance and further Membership Services.

Name

First Name

Last Name

Address

Address 1

Address 2

Town / City

State / Province

Postal / Zip code

Country

Phone number

E-mail Address

Please be careful if you are using a free e-mail account.
Our e-mail may be sorted in your spam mail folder.

Date of birth

Month

Date

Year



Have you shopped with us before?

Order Specification

Design No.

About “Design No.”

Any other requests?
※Please mention your ring size in Japanese standard here.

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