SetsunaKou's & HarukaKou's Shoppe Order Form

You must be 18 years of age or older, or have your parent or guardians' written permission to place an order.



name:

Street Address:

City:

State/Province:

Zip Code/Postal Code:


Country:

E-mail address:

Paypal E-mail address: (Only required if you will be paying via Paypal)

Please select your Order Category:

(After selecting the category, be sure to highlight it by clicking on it)


If ordering a costume, Plush, or Doll, which character(s) are you ordering (you may indicate more than one character):

Please specify in box the name of the character you are ordering:
Please specify in box the name of Series/Anime the character is from:

*Only If you are ordering a costume, please fill out the red question boxes below:

Adult or Child?
Adult
Child
Regular or Plus Sized?
Regular
Plus (Bust/Chest of 41" or above)

If ordering a Sailor Scout Costume, which style of Sailor Uniform?: (REQUIRED)

*If you are ordering anything else, please specify in Description box below.
Description & Additional Information

Price:

Shipping Costs (Domestic USA):

(After selecting the shipping cost, be sure to highlight it by clicking on it)


Shipping Costs (International):

(After selecting the shipping cost, be sure to highlight it by clicking on it)


Payment Method:

(No personal checks accepted)

US Postal Money Order
Credit Card
Debit Card
Western Union Money Transfer
Credit Card/Debit Card through Skrill/Moneybookers



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