YokoDana Kimono, adba Yoko Trading, Banner Header
www.yokodana.com

Secure Online Order Form

You should see the following secure URL in your browser:

you should see this URL in your browser

Secure form by FormNut.com


ABOUT YOUR PRIVACY: WE ARE THE ONLY ONES WHO SEE YOUR INFORMATION, PERIOD.
Also, we will not contact you nor send email unless need be about this order, or, if you join our opt-in membership.


ORDER FORM
Web Site Catalog || Services || Other

CATALOG / Ref. NO.
Quantity & Item Description
ITEM PRICE
US$
US$
US$
US$
US$
US$
US$

** If ordering more than 7 items, please enter the 8th and following items within Special Instructions field at bottom of order form.

To see details of our policy regarding shipping costs please go BACK to previous page or check HERE.

WE WILL CONFIRM YOUR SHIPPING AMOUNT AND GRAND TOTAL WILL BE SENT BY EMAIL WITH YOUR ORDER CONFIRMATION .We do not charge until day of shipment.

We use US Postal Service instead of United Parcel Service (UPS). If you require UPS, we charge a surcharge plus actual UPS shipping cost: Details here.

BILLING INFORMATION -- *Required
*Credit Card/Billing Name
*Billing Address
*City
Province/Region
*(USA/Canada) State
*Country
Other countries: Please enter "XX" for State
*Zip/Postal Code
*Payment Form

VISA MasterCard Discover
American Express

 

Check Money Order Paypal.com

*Your Email:
Credit Card Number:


(IF PAYING BY PAYPAL:
PLEASE DO NOT ENTER CARD INFO HERE.)
Card Expires: Month: /Year:
*Credit Card Code #:

*IMPORTANT: If paying by credit card, for your protection, we cannot process your order without this security number.
explain security code location on credit cards

*Telephone:

(USA customers please include area code, International Customers also please include your country and regional codes)

We will not call you unless need be about this order.

SHIPPING INFORMATION:

  Please leave below blank if same as billing address.
Ship To:
Address:
City:
Province/Region:
(USA/Canada) State:
Zip/Postal Code: Country
If you are a Facebook Fan and/or Opt-in Member of Yokodana.com please tell us below:

To submit your order please enter the numbers from the dark box into the blank white field below, then click the submit button:

We record your IP for security purposes