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Request Form

Please fill all fields unless otherwise noted.
If you submit an incomplete order, it may be ignored without notice.
If you have any questions, please ask them before ordering.

Customer Information
Given Name:
Surname:
e-Mail Address:
Shipping Address
Address#1:
Address#2:
City:
State/Providence:
Zip/Postal Code:
Country:
Auction Information

Maximum bids can be submitted in US dollars or Yen.
Enter US amounts as $10.00 and Yen amounts as Y1,000.
Bids in US dollars will be converted according to our current exchange rate.

If you wish to request more than six auctions, submit the form twice. After submitting once, you will be redirected to a 'Thank You' page. Click the link back to this order page. You do not need to submit your address a second time but you must submit your name and e-mail address again. In the 'comments' field, specify that it is a two-part order.

URL #1:
Max. Bid #1:
URL #2:
Max. Bid #2:
URL #3:
Max. Bid #3:
URL #4:
Max. Bid #4:
URL #5:
Max. Bid #5:
URL #6:
Max. Bid #6:

Payment Information
Payment method:
IMPO Information

Comments & Questions

This field is optional.