ORDER & CONTACT FORM
When you order , please fill out the ORDER FORM below and click submit button.
E-MAIL ADDRESS
(Essential)
FIRST/LAST NAME
(Essential)
MALE FEMALE
MALE
FEMALE
ZIP-POSTAL CODE
SHIPPING ADDRESS
CITY OR TOWN
BUILDING, APARTMENT NAME
PHONE NUMBER
(Daytime phone number)
WORK OR ARTIST NAME
PRICE ¥
(tax included)
PAYMENT METHOD
Bank Transfer
COD mail
PayPal
MASSAGE
Designation days to send of the product If there is it,
please fill it out.
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