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お米の配達受付フォーム

お米の配達受付フォーム

下記よりご注文ください
  • 1
    下記以外の地域は配達不可
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  • 2
    毎月、第3土曜日
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    Pick a Date
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  • 3
    お住まいの地域や交通事情により遅れが生じた場合、電話にてご連絡させていただきます。
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  • 4
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    カート
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    カート
    Great Product Name
    $20
    Quantity:1
    Size:Small
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    Great Product Name
    $20
    Quantity:1
    Size:Small
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    Great Product Name
    $20
    Quantity:1
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    $20
    Quantity:1
    Size:Small
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    注文概要
    合計JPY
    • はえぬき
      はえぬき10kg×3袋
      ¥9,980RemoveEdit
      戻る
      1
      • 1
      • 2
      • 3
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      • 5
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      • 7
      • 8
      • 9
      • 10
    • つや姫
      つや姫10kg×3袋
      ¥15,000RemoveEdit
      戻る
      1
      • 1
      • 2
      • 3
      • 4
      • 5
      • 6
      • 7
      • 8
      • 9
      • 10
    • 雪若丸
      雪若丸10kg×3袋
      ¥13,000RemoveEdit
      戻る
      1
      • 1
      • 2
      • 3
      • 4
      • 5
      • 6
      • 7
      • 8
      • 9
      • 10
      合計 ¥0
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    • 5
      配達時のご希望の決済方法をご選択ください
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    • 6
      配達先の氏名、住所をご入力ください
      選択してください
      • 選択してください
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    • 7
      ご入力いただいたメールアドレス宛に、ご注文内容をご案内いたします。 メールアドレス不明の場合、「次へ」押下
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    • 8
      何かご要望等ございましたら、こちらの欄にご記入ください
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