TOA Claris Overseas Only Lottery Sales Entry Form

Please select up to the third item you want and enter your exact shipping address.
(I ship internationally from Japan).
* is a required field.

If you do not have a second choice or less, you can leave it blank.
Please do not select the same product name twice.

Winners will be notified by email after the drawing (please allow a few days for the drawing).
Please enter your correct email address.
(Please avoid using webmail, as it often results in undeliverable emails).

Please check the contents carefully and click the [確認(Confirm)] at the bottom.

First name
Last name
address(Include apartment numbers, etc.)
City
Country
Postal code
Phone
Email
Your Twitter account (ex @toaclaris)
If you have any other comments


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