fragment design / Hiroshi Fujiwara / uniform experiment / SOPHNET Order Form

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訂購表格[ORDER FORM](香港地區使用) 請填寫所有*部分。

＊	貨品編號	貨品名稱	顏色	數量	購買價
	FD - 01	hnyee x Base Control BOX TEE			$ 640
	FD - 48	fragment design x NSW AIR FOOTSCAPE HF	red		$ 1,680
	FD - 51	UE 10A/W CASHMERE KINT CAP	red		$ 1,880
	FD - 61	NSW AIR FOOTSCPE MOTION	purple		$ 1,850
	FD - 62	Hiroshi Fujiwara x JUN TAKAHASHI AFFA SHIRT [ L size ]	blue		$ 3,280
	FD - 69	fragment design x G1950 15th Anniv. Bath Mat			$ 580
	FD - 70	fragment design x PILOT fragment frixion 2	black		$ 320
	FD - 72	fragment design x SENSE BE@RBRICK 50% STRAP	black		$ 180
	FD - 87	fragment design x UE COLLEGE HK OPENING TEE [ size 1 ]	black		$ 980
	FD - 90	fragment design CHOGOKIN 200% BE@RBRICK	black		$ 1,080
	FD - 95	fragment design x NSW DUNK HIGH PREMIUM [ US 8 ]	red		$ 2,580
	FD - 96	fragment design x NSW DUNK HIGH PREMIUM	yellow		$ 2,980
	FD - 98	fragment design x UE "UEAFA" FULL ZIP PARKA [ size 2 ]	navy		$ 2,980
	FD - 100	UE 11S/S BADGE			$ 50
	FD - 101	UE x CORE JEWELS 11S/S CODE BRACELET	white		$ 580
	FD - 106	fragment design x NSW Air Zoom All Court			$ 1,250
	FD - 107	UE x ALPHA TIGHT FIT N-2B [ L size ]	khaki		$ 4,980
	FD - 108	UE 11S/S TURFAN TRICOLOR LINE V NECK KNIT [ size 2 ]	navy		$ 2,880
	FD - 110	fragment design x retaW Body and Soul Tee [ L size ]	black		$ 760
	FD - 112	UE 11S/S OXFORD STAR PATTERN B.D SHIRT			$ 2,980
	FD - 114	UE x KANGOL MAU CAP [ L size ]	beige		$ 880
	FD - 116	UE 11S/S CHAMBRAY S/S STAR PATTERN SHIRT			$ 3,150
	FD - 119	UE 11S/S BROAD WIDE STRIPE L/S B.D SHIRT ( WASHED ) [ size 2 ]	navy		$ 2,450
	FD - 121	fragment design x BALABUSHKA 3PV Tee [ L size ]			$ 990
	FD - 122	UE 11S/S T/C WAPPEN WORK SHIRT (Washed) [ size 2 ]	navy		$ 2,950
	FD - 125	UE 11S/S STAR PRINT GINGHAM CHECK 3/4 SHIRT			$ 2,980
	FD - 128	fragment design x Starbucks B-Side Mug Cup	white		$ 480
	FD - 130	fragment design x Supreme x NSW All Court	white		$ 1,680
	FD - 132	UE x BLACK SENSE MACKET Folding Fan	black		$ 280
	FD - 133	UE 11A/W Star Patten Gingham B.D Shirt	blue		$ 3,280
	FD - 134	SOPH. 11A/W Turquoise Bracelet	blue		$ 1,880
	FD - 136	SOPH. 11A/W Camouflage Cleric Shirt	white		$ 2,940
	FD - 137	UE x Alpha Helmet Bag			$ 1,580
	FD - 139	UE x BOW WOW International Car Number Plate Tee			$ 1,080
	FD - 140	Hiroshi Fujiwara x Traverse Tokyo Perspecktive Tee	white		$ 880
	FD - 148	UE x CARHARTT BRONCO PANT			$ 3,150
	FD - 149	UE x CARHARTT BRONCO DAMAGED PANT			$ 4,380
	FD - 150	UE x NIKE TENNIS CLASSIC			$ 1,980
	FD - 151	UE x Englatailor Star Patern Flannel Check B.D Shirt [ size 2 ]	red		$ 3,280
	FD - 152	UE 11A/W NAVY CREW NECK KNIT [ size 3 ]	navy		$ 2,850
	FD - 155	fragment design x BICYCLE IRREGULAR Playing Cards			$ 160
	FD - 156	SOPH. 11A/W FSF MOUNTAIN PARKA [ L size ]	navy		$ 6,580
	FD - 157	UE x BENRUS Hankyu Limited WATCH	navy		$ 1,980
	FD - 158	UE 11A/W STAR PRINT FLANNEL CHECK B.D SHIRT [ size 2 ]	bk,wh		$ 3,280
	FD - 160	fragment design x sacai x Gizmobies iPhone Cover			$ 550
	FD - 162	SOPH. x VISVIM HOMER TOTE (L)	navy		$ 6,380
	FD - 163	fragment design x Carhartt WIP Capsule Logo Tee			$ 750
	FD - 165	UE x BRITISH REMAINS SAME THING TEE [ size 1 ]	black		$ 1,180
	FD - 166	fragment design x BE@RBRICK PANDA Strap 50%	bk/wh		$ 240
	FD - 167	fragment design x BE@RBRICK PANDA Strap 50% [ SET ]	bk/wh		$ 450
	FD - 169	fragment design BE@RBRICK WORLD WIDE TOUR 2 1000%	white		$ 4,380
	FD - 170	fragment design x UCS 10th ANNI. G-SHOCK DW-5600	black		$ 2,880
	FD - 171	UE 11A/W FIVE STAR V NECK KNIT [ L size ]	gray		$ 3,980
	FD - 172	SOPH. 11A/W MICKEY MOUSE CREW NECK KNIT [ M size ]	gray		$ 4,980
	FD - 173	F.C.R.B. 11A/W M-65 JACKET [ M size ]	black		$ 6,480

交易地點* : 地鐵沿線 / 郵寄
# 選擇地鐵沿線交收者,貨品價格如低於港幣$500，我們不接受面交 #
# 選擇[親臨到【cotwo】取貨]只會為客人預留貨品2天 #

付款方法* :

# 選擇[親臨到【cotwo】取貨]可用 EPS 或信用卡付款 #

顧客資料

顧客名稱* : 中文或英文全名

聯絡電話* :

電郵地址* :

註備 : (選擇郵寄者請填寫地址)

送出前，請閱覽本網店訂購條文(introduction)。

此表格會經用戶的Microsoft Outlook或Outlook Express送出，如果閣下正在使用的電腦中沒有安裝及設定Microsoft Outlook或Outlook Express，請以電郵的方式將以上內容電郵至 [ order@head-porter.org ] 。

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