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[ORDER FORM](For Overseas Buyer Use Only) PLEASE fill in all the bracket with*.

＊ Item no. Item Name Color Quantity Price in USD P - 76 HPP x FRED PERRY Polo Shirt [ L size ] gray $ 257 USD P - 88 HP Perfect Book 2010 Summer & HPP 2Way Tote Bag   $ 25 USD P - 94 10S/S ISETAN LIMITED PARKA [ L size ] black $ 137 USD P - 98 10A/W MOTHER GOOSE DOWN VEST [ XL size ] navy $ 500 USD P - 103 10A/W PATCH ZIP PARKA [ M size ] gray $ 221 USD P - 106 11S/S CHINO 7/10 PANTS ~PLEASE SELECT~ [ M size ] [ L size ] beige $ 229 USD P - 111 -atelier- Limited Nike Tennis Classic Velcro ~PLEASE SELECT~ [ Blue - US7.5 ] [ Brown - US7.5 ] [ Brown - US9.5 ] [ Silver - US7.5 ] [ Silver - US9 ] [ Silver - US9.5 ] white $ 179 USD P - 112 11A/W REPAIR DENIM PANTS [ M size ] indigo $ 542 USD P - 113 HPP x UBIQ / STANDARD-LO ~PLEASE SELECT~ [ Black - US8 ] [ Black - US10 ] [ White - US9 ]   $ 179 USD P - 115 11A/W TEDDY BEAR ~PLEASE SELECT~ [ Blue ] [ Green ]   $ 165 USD P - 116 HPP x UBIQ / STANDARD-DOT ~ PLEASE SELECT ~ [ Black - 25cm - US7 ] [ Black - 26cm - US8 ] [ Black - 27cm - US9 ] [ Black - 28cm - US10 ] [ Navy - 23cm - US5 ] [ Navy - 26cm - US8 ] [ Navy - 27cm - US9 ] [ Navy - 28cm - US10 ]   $ 235 USD P - 117 12S/S CHINO PANTS / MULTI ~PLEASE SELECT~ [ Camel - S size ] [ Navy - S size ] [ Navy - M size ] [ Navy - L size ]   $ 262 USD P - 118 12S/S USED DENIM PANTS ~PLEASE SELECT~ [ S size ] [ M size ] [ L size ] indigo $ 542 USD P - 119 12S/S OX-CROSS SHIRTI ~PLEASE SELECT~ [ S size ] [ M size ] [ L size ] [ XL size ] blue $ 249 USD P - 120 12S/S OX-CROSS H/S SHIRT ~PLEASE SELECT~ [ S size ] [ M size ] [ L size ] [ XL size ] blue $ 230 USD TRADSACTION METHOD* : EMS ( Speed Post ) [ SHIPPING COST INFORMATION ] PAYMENT METHOD* : PayPal * No matter you have PayPal account or not, also can use your CREDIT CARD through PayPal. * CUSTOMER INFORMATION CUSTOMER NAME* : [ Must be same as your PayPal account ] CUSTOMER CONTACT NO.* : [ Phone Number ] CUSTOMER E-MAIL* : PayPal ACCOUNT E-MAIL* : COUNTRY* : * We will only ship the stuff to your PayPal shipping address * ADDITION INFORMATION : Before you send out this order form, Please read our introduction. This ORDER FORM will be send out by customer's Microsoft Outlook or Outlook Express. If customer's computer did not install and set up Microsoft Outlook or Outlook Express, please send us the details of order to [orderoverseas@head-porter.org]. ................ [CLOSE]