Order form

Please fill in the detailed information on the order form and send us.
We will confirm the order by email from the staff.
If you do not receive a reply from us within 2 days, please contact us by phone.

 

    Your name

    Your phone number

    Your email address

    Date & time

    YEARMONTHDAY

    TIME～
    Until

    Deliver to the theatre　
    Doors open timeTIME

    Desired product

    Budget

    JPY（Tax not included）

    ※Free delivery area varies depending on your budget.

    ※Shipping costs extra.

    ≫Delivery area

    To use for

    Arrangement

    Colour

    Message card

    　If you have a message please write within 50 characters.

    Nameplate

    　If you have a nameplate please write down here.

    Note

    　

    Please fill in if you would like to delivery.

    Delivery name

    Mr./Ms.

    Delivery phone number

    Delivery address

    ※Please fill in a building name if you have.

    Name of the orderer

    Mr./Ms.

    Phone number of the orderer

    Address of the orderer

    ※Information of the orderer will be included in the delivery note.

    Payment

    ※For customers using our shop for the first time please make payment before delivery.

    　

    If you are satisfied with the contents, click the "submit" button.