Japan Culture Club Order Form

This is the order form for fax or s-mail.

By the way, as far as you provide us with all the necessary information, you do not need to use this form.

Your name:_____________________________________________________

Address:_______________________________________________________

City:________________________State___________Zip:______________

Country (if not USA):__________________________________________

Daytime Phone:_________________________________________________

(In case we have questions about your order)

E-mail Address:________________________________________________

Method of Payment (please circle one): Check, Money Order, Paypal.

Item(s):_______________________________________________________

Total of Items($):__________________

S&H($):________________ (International Customers: Please Double S&H)

(We will give you a discount on the shipping whenever we can save the cost by mailing the items together).

TOTAL:__________________

Please fill out, and mail or fax to:

Japan Culture Club

180 S Martine Ave

Fanwood, NJ 07023 USA

Fax: 1-617-812-5575

If you have any questions, please e-mail us.

Go back to the Catalog on the Web.

Go back to Japan Culture Club Home Page.