Brio Order Form
*
Be sure to enter.
Name
*
Zip code
*
Country
*
Address
*
Phone
Email-address
*
Order
*
Brio($55.00) *
1
2
3
4
5
6
7
8
9
10
<Payment>
Credit card
Visa or Mastercard
*
card number
01
02
03
04
05
06
07
08
09
10
11
12
/
month / yearr
< About Payment >
*Credit card Only(
Visa
or
Master card
)
*
Shipping is free.
*Sent by
air mail
. It takes about 10 days, until the goods arrive.
*To calculate the cash payment in
Japanese yen
. Amounts may vary slightly depending on currency exchange rates.
Messege
check
このフォームは
Formzu
で作成しました。