"Temporary Order Form" for Zen Art Originals. 

(For Zen Art Originals Only.)   

For Orders by Fax or Regular Mail.

 Temporary Order Form of PDF

　

<To:>Jikyu-an Zen Art.
23-3 Kitsujiminami-cho, Hanazono, Ukyo-ku, Kyoto. 616-8057 Japan.
Phone: +81 75 462 1370  

FAX:  +81 75 461 7990 
e-mail:< zen-art@jikyu-an.com>

Zen Art ID No:

Name of Artist:

Text:

Price:

　
　
　
　
　
　
　
　
　
　
　
　
Name: (Please print in block letters.)

　

 Address:
Signature: ZIP Code: Country:
Date:
Phone: Fax:
E-mail Address:

Please select method of shipment.

1. EMS 2. SAL Air Mail 3. Surface Mail

Please select method of payment.　　　　　

1. Bank Transfer 2. International Postal Money Order 3. Credit Card
Comments or Messages to Us: 

　

　

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