Form for order from the 2nd delivery onwards

※Delivery Day and Time

Day	Time	Delivery Fee
Monday to Friday (except for public holiday)	Please choose your favorable delivery time frame/zone below; 1) 11:00～14:00 2) 12:00～15:00 3) 13:00～16:00	Free of Charge

　We will contact you to reconfirm in the case that we are unable to deliver
　on your favorable delivery date and time.

※Deadline for Placing an Order
　Preferably, please place an order more than 2 business days before your
　favorable delivery date. At latest, until 3pm the day before your favorable
　delivery date.

※Minimum Purchase Quantity
　“2 boxes (6 bottles) in a month” per one water dispenser.
　Considering temporary decrease in consumption during vacation season,
　the minimum purchase quantities are “24 boxes (72 bottles) in one year” for
　the package A, and “12 boxes (36 bottles) in 6 months” for the package B.

※Minimum Order & Unit of order
　Min. = 2 boxes. Unit of order = 1 box.

※Payment
　On the delivery day, the price of boxes delivered shall be paid by Cash on
　Delivery or bank transfer, paynow (UEN: 200602375Z)
or cheque (payable to: Arees Water Pte. Ltd. ).
　The price for 1 box = SGD41.73 (inclusive of GST).

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※If you don't receive any reply from Arees Water Pte. Ltd.
　after 2 working days of your order, please contact us either by calling at
　+65 6659 0238 or sending us an email (sales@shinanoyusui.com.sg).

※All of our customer's personal information shall be carefully managed by
　Arees Water Pte. Ltd. and shall not be used for any other than
　the purposes regarding distribution of Shinano Yusui.

Customer information ： *required field. When used in office / shop, fill in name and contact information of the contact person.
Place of use ：	Household 　 Office / Shop
Name ：	Mr. Ms. * Enter given name followed by surname in English.
Company name ：	Enter company name, only when used at office / shop.
Customer code ：
Email ：	*
Mobile phone number ：	*
Land line phone number ：
Your order ：
Number of boxes ：	0 2 boxes(6 bottles) 3 boxes(9 bottles) 4 boxes(12 bottles) 5 boxes(15 bottles) 6 boxes(18 bottles) 7 boxes(21 bottles) 8 boxes(24 bottles) 9 boxes(27 bottles) 10 boxes(30 bottles) 11 boxes(33 bottles) 12 boxes(36 bottles) *
Favorable date and time ：	-- 1 2 3 4 5 6 7 8 9 10 11 12 * Month -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 * Day　 -- Mon Tue Wed Thu Fri * Day of week Time Frame -- 11:00 - 14:00 12:00 - 15:00 13:00 - 16:00 *
Your enquiries ： up to 200 words.