Pick Up Request Form

The packing list is necessary to pick up your BOX.

Please fax the 020-4623-2350  1th the packing list.

In that case, this form is not necessary.

Please write it is the packing list necessary for the message and send one with a necessary packing list.

I will send the packing list with mail.

The payment of the carriage is a post office (ucho bank).

KIGO: 019706

BANGO: 44045

Address *
Please open one line and write the ZIP code.
Land line number -  -  半角数字
Normal-width figure
Mobile phone number * -  -  半角数字
Normal-width figure
E-mail address * ミス防止の為
Please input it twice for e-mail address wrong prevention.
Packing list sent 1Mバイトまで 複数ファイル
From the transmission, please send right, the file ”ファイルを送信”.
Pickup Date *
As described, please make up a pickup date.
Pickup time zone
PM 0:00〜PM 2:00
PM 2:00〜PM 4:00
PM 4:00〜PM 6:00
PM 6:00〜PM 8:00
I ask for early booking.
There is likely to be irregular Sunday national holiday.