Kokontozai

Garment Request Form

Once we have received your order request - we will contact you with further information regarding the possibility of production and payment procedure where necessary.

*Fields marked with are mandatory**
YOUR DETAIL		SHIPMENT
Your Full Name*		Recipient Full Name*
Email Address*		Delivery Address*
Paypal Email		ZIP / Postal Code*
Handphone Number*		City*
		State / Province*
Product		Country*
Product SKU		Phone Number*
Size*	(?)

MESSAGE
Subject*


*Please type security code below :**

Garment Request Form

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