Aroma Pendant Order Form

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Jewelry plus+ 「Aroma Pendant」 Order Form

♪For Conceiving Babies & Everlasting Beauty Anti-Aging Jewelry♪

Please fill in this Form below.
You would be received our Contact by e-mail or phone call in a couple of days.
If no reply, please let us know up to 090-4453-2999 or yuriko@diamondjewelry.jp .

The Charge:￥79,800(Included Tax)
YD Aroma Chips 5 pieces→
Now is the Campaign, then 6 pieces + a Grass Vial to keep chips, Present!!

Please transfer the fare to the bank below.
Please note to transfer under the same Name which you have filled in this Form.
The commission fee should be paid on your side. Please understand in advance.

Your Pendant Set will be sent you in about 3 weeks after your Form has sent.
Our Products are hand-made one by one courteously and carefully.
Therefore it might take a bit longer time to complete your one.
Thank you for your understanidng.

Mitsubishi Tokyo UFJ Bank　Omotesando Blanch
Checking Account 0490975
Yuriko Consalvi

Name(*Compulsory)
Address(*Compulsory)
Cellular・Tel(*Compulsory)
PC E-Mail(*Compulsory)
Aroma Pendant(Pink Coating)
The Number(Pink)
Aroma Pendant(Yellow Coating)
The Number(Yellow)
Aroma Pendant(White Coating)
The Number(White)
YD Aroma Chip Additinal Order (Not allowed to purchase only Chips. Can be purchased once gotten Aroma Pendant)		1 set;5 pcs/Y4,500(with Tax) 2 set;10 pcs/Y8,900(with Tax) 3 set;15 pcs/Y13,200(with Tax) 4 set;20 pcs/Y17,400(with Tax) 5 set;25 pcs/Y21,500(with Tax)
Inquiries&Coments(Let us know your frank requests)
Charm Edition Request