Order form

After completing the required items, etc., please press the “Confirm entered details” button. Items that must be entered are marked as “Required”.

Order method

Product name“Required”
Remarks Please enter remarks if you would like to request a custom order featuring changes to color and/or size, etc.

Customer information

Name“Required”
E-mail“Required”
Telephone“Required”
Country“Required”
Zipcode“Required”
Address1“Required”
Address2

Payment method

Payment method“Required”
Account information
Bank name : Daishi Hokuetsu Bank,Ltd.
Swift code : DAISJPJT
Branch name : NAGAOKA MAIN OFFICE
Bank address : 2-2-14 Otedori, Nagaoka-shi, Niigata-ken, JAPAN
Bank account : 431-1818432-01
Account name : YMK Nagaoka Co., Ltd.
Address :738-1 Takamimachi, Nagaoka-shi, Niigata-ken, JAPAN
President name : Hiroyuki Nishiwaki
PayPal
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Shipping address“Required” 　　
Items to be communicated regarding shipping

Shipping destination information

Name“Required”
Country“Required”
Zipcode“Required”
Address1“Required”
Address2
Telephone“Required”