ORDER FORM

Please fill up this form and email to yukatahouse@hotmail.com

Name:

Contact Number:

Order:

Standard/ Premium Design #___

Basic/ Full Package

Design of obi:

Design #___

Design of geta:

Rectangular/ Rounded Geta

Red/ Purple/ Coffee/ Dark Blue

35/ 36/ 37/ 38/ 39/ 40

Collection mode:

Meetups/ Mailings (at an additional charge)