Yokota Pearls Order Sheet
Print out this page and fill out required fields, then fax to us.

+81-78-321-3660 Acceptance for 24 hours
Please check your order carefully before you fax.

*Required Field

* Merchandise / Quantity
1.

2.

* First name / Last Name


* Shipping Address : (This should be the address that the credit card statement is sent to.)



E-mail address :(If you possess)


* Phone number


Fax number


* Payment

{ } Bank transfer (We will let you know our bank account information by return.)
{ } VISA or Master Credit Card


Card holder's name : _________________________________________________


Expiration date(mm/yy) : ________ /________

Card Number :


_____ _____ _____ _____- _____ _____ _____ _____ - _____ _____ _____ _____ - _____ _____ _____ _____

Notice to us / Comments :(if any)

+81-78-321-3660
Yokota Pearls, Inc,