gift cards

ORDER FORM

Please fill out the form and click submit botton.
Fields marked with an asterisk(*) are requird.
  • FILL OUT THE FORM
  • CONFIRM THE FORM
  • SUBMIT TO COMPLETE

APPLICANT INFORMATION

NAME*
ZIP CODE*
PREFECTURE*
ADDRESS*
*If shipping to a business, the company name must be entered or shipments may be delayed.
TEL*
*Local number in Japan only
- -
E-MAIL*
RE-ENTER E-MAIL TO CONFIRM*

GIFT CARD AMOUNTS*

0

PAYMENT METHOD*

*We accept VISA / MASTER card only.
*The link to credit card payment will be sent to your e-mail address after submission.

Bank Information
Sumitomo Mitsui Banking Corporation
Hamamatsucho Branch
Saving Account 2833229
OM2 Dining Co., LTD.

Any fee regarding bank transfer will be your cost.
Bank information will be sent after sending the order form.

RECEIPT*

Please indicate the recipient name, if it is different from applicant's name.

MESSAGE SERVICE*

Message

If you are sending the card to a different address, please place a check in the box below and enter the necessary information.

NAME*
ZIP CODE*
PREFECTURE*
ADDRESS*
*If shipping to a business, the company name must be entered or shipments may be delayed.
TEL*
*Local number in Japan only
- -
E-MAIL
RE-ENTER E-MAIL TO CONFIRM