Kurasu × Chimahaga Kintsugi Repair Request Form

Kurasu × Chimahaga Kintsugi Repair Request Form
Notes

This repair request form is exclusively for ceramics purchased from the Kurasu Store.

Please note that Chimahaga is currently suspending kintsugi repair requests for all other items.

Please ensure you check this page before submitting your request.

You will receive a confirmation regarding your repair request from @chimahaga.com.
Name*

First NameLast Name
Email*
Your order number when you ordered the requested item(s) from Kurasu Coffee
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState, Province

Postal, Zip Code
Overall view of the requested item*

Upload a File
Multiple uploads available Cancelof
Close-up view of the damaged part of the requested item*

Upload a File
Multiple uploads available Cancelof
Please tell us the size (cm) and material of the damaged part of the requested item.*
Should be Empty: