Le salon d'Y　Order Form

Item No.	Item Name	Color	Quantity	memo

FIRST NAME ：
LAST NAME ：
ADDRESS 1. COUNTRY ：
ADDRESS 2. CITY ：
ADDRESS 3. ：
TELEPHONE No ：
FACSIMILE No ：
E-MAIL ADDRESS ：

Your order is not fixation now. We report in three business days for the confirm.
We will recommend you to be ordered as soon as possible.
Order for the facsimile, please print out. →　Order form (PDF)

Please click the confirm button if it is good in the above-mentioned.