Company Name*:

Contact/Buyer's First Name*: Last Name*:
Email Address*:
Business Phone*: FAX Number:

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Bill to Address*:
City*: State*:
Country*: Zip*:

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Same as Billing Address?*: Please Choose YES NO
Ship to Address:
City: State:
Country: Zip:

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Physical Store Address*:
City*: State*:
Country*: Zip*:

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Type of Business*: Please Choose 00OL Online Shop 01GF Gift Shop 02GO Asian Themed Gift Shop 04BK Book Store 05MM Museum Shop / Zoological Parks / Botanical Gardens 05FL Florist 06SP SPA 07YG Yoga Studio 09MD Medical Office / Acupuncture / Pharmacy 12AP Apparel 13GR Grocery 20RE Religious 20RT Other Retail 30CH Chain Store
Category of Products Sold:
Web Address (If Available):

Online Shop Only?*: Please Choose YES NO

I have read and agree to the Terms*

Terms

1) Minimum Order of US $150 - for some items, a minimum quantity may be required. Please refer to the Price Sheet for details.
2) Payment - Initial orders by Credit Card but may apply for Terms after that. Please request application form if interested.
3) Shipment - We can ship directly to you by FedEx, USPS Priority for HI, AK, CANADA, and UPS by request *additional pick up charge included* and charge actual shipping fee on your Invoice. If you have accounts with FedEx or UPS, we can ship via Collect as well. (Any surcharge, brokerage charge, import duty, sales tax, etc. the customer / importer is responsible)
4) Returns / Exchanges - All sales are final. No returns / exchanges accepted UNLESS damaged during shipment or have factory defects. Customer must notify Nippon Kodo for prior authorization of any returns/exchanges before making return shipments within 5 business days of receipt of products.
5) US, Canada, Mexico, Caribbean and South America only. Effective February 1, 2023, we prohibit the sale of any Nippon Kodo products on e-commerce websites (including but not limited to Amazon, Ebay, and Walmart) other than your own store website.


Notes :



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