comiket service mail order / order form for those who does not has our customer number

ORDER FORM FOR THOSE WHO DOES NOT HAS OUR CUSTOMER NUMBER

Last Updated : 2003. 7.19

If you want to place the orders more than 10, please submit another form.

First, please appair the customer id application

Name (Mandatory)

E-Mail Address (Mandatory)

E-Mail Address (Confirmation)

Country (Maondatory to estimate postage)

Item # Item Name Num. Unit P. Amount

(Sample 1508 Comiket Catalogue 64 2 2000 4000)

#1

#2

#3

#4

#5

#6

#7

#8

#9

#10

Total

Method Of Transport

Comments if any (English only)

Please Fill the Information About Yourself a Little...

Birth Day (yyyy/mm/dd)

Sex

Method of Payment

Name (Mandatory)
E-Mail Address (Mandatory)
E-Mail Address (Confirmation)
Country (Maondatory to estimate postage)

Method Of Transport

Birth Day (yyyy/mm/dd)
Sex
Method of Payment

In Case of Money Order Offset, Please Fill the Information About Your Address.

Address 1.
Address 2.
City
State
Zip
Telephon Number
FAX Number (if any)

Please type the letters (7 char) to the next box ->

Thank you very much. Please confirm the input and press "Submit" if the information is okey.

Please be advised we check your IP address.

	Item #	Item Name	Num.	Unit P.	Amount
(Sample	1508	Comiket Catalogue 64	2	2000	4000)
#1
#2
#3
#4
#5
#6
#7
#8
#9
#10
Total