REGISTRATION FORM “Island Farm Fresh” -Organic Veg Box Delivery from Awaji Island-
Thank you for considering registrating our organic veg delivery service!
Please fill in this form.
We will reply to you soon!
E-mail address（please fill again）
Size S (about 8 vegetables, for single person) ¥1,900
Size M (about 8 vegetables, for 2-3 person) ¥2,400
Size L (about 10 vegetables, for 4-5 person) ¥2,900
Every two weeks
Bank Transfer (Bank charges must be paid by the customer.)
Credit Card Online Payment (PayPal)
Cash on Delivery（Additional service charge to Sagawa Transportation for ¥330 is necessary.）
0thers ( if you have any questions )
A copy of your responses will be emailed to the address you provided.
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This form was created inside of 淡路島ファーム 太陽と海.