Wine Order Form（Hyakunotami KOSHU 2022）

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Thank you for purchasing Hyakunotami Koshu 2022.
Here is the order form.Please enter the e-mail address that will be used to send the receipt completion e-mail after the order is placed.
We cannot ship overseas.

Email *

NAME: *

Please enter your name.

Postal / Zip Code: *

Please enter your postal/zip code. (Example:777-7777)

ADDRESS: *

Please enter your address and do not abbreviate the prefecture.
(Example:NAO-bldg3F, ARAKI-CHO 9-7, SHINJUKU-KU, TOKYO)

PHONE NUMBER: *

Please enter your landline or mobile phone number. ( Example:+81-90-1234-5678)

E-MAIL: *

Please enter your email.

SHIPPING ADDRESS

Please enter a destination address and name.

Please enter a destination name.
*No need to enter if same as the person ordering

Please enter the Postal / Zip Code of the destination

Please enter the postal/zip code of the destination. (Example:777-7777)

*No need to enter if same as the person ordering.

Please enter the delivery address of the destination

Please enter the delivery address and do not abbreviate the prefecture.
(Example: NAO-bldg3F, ARAKI-CHO9-7, SHINJUKU-KU, TOKYO)
*No need to fill in if same as the person ordering

Please enter the telephone number of the destination

Please enter the landline or mobile phone number. (Example: +81-3-3341-5723)
*No need to fill in if same as the person ordering

Please select the desired product. *

Hyakunotami Koshu 2022 (750ml)

Please enter how many bottles you would like to purchase.

Limited number of bottles available, 6 bottles maximum

PAYMENT

Billing information *

Please select one.

same as orderer

same as delivery address

PAYMENT *

Please select your preferred payment method.
*Please pay in advance. An invoice will be sent to the email address you selected in the billing information above.

Credit card (VISA/Master/American Express/Diners/Discover)

Delivery date

After payment is confirmed, we will ship the item within 5 business days

*We apologize for not being able to set a specific arrival date and time. We will inform you the tracking number when the parcel is shipped by Kuroneko Yamato cool delivery service.

ORDER NOTES:

SELLER INFORMATION

HYAKUNOTAMI, Co,Ltd.
〒160-0007
NAO-bldg3F, ARAKI-CHO9-7, SHINJUKU-KU, TOKYO JAPAN
info@100notami.com

Flow after ordering

After submitting this form, you will receive an order confirmation email to the email address you provided.
*If you do not receive it, please contact info@100notami.com. After confirming your order, we will send an invoice to the email you provided within a day or two, so please make payment by the due date. After payment is confirmed, we will ship the item within 5 business days.

A copy of your responses will be emailed to the address you provided.

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