This is an Order Form for LACUNAL. Price of LAKUNAL: USD28.00. Please complete the form and then click SEND to submit your Order. We will contact you via email to verify your Order with an online invoice for Payment. Your LACUNAL item will begin production after Verification of your Payment. 1.Your Information Your Name (required) Your Email (required) Telephone Number (required) Billing Address Street Address City State/Province Country ZIP Code Shipping Address My billing and shipping address are the same Street Address City State/Province Country ZIP Code 2.Details about your Order Price of LAKUNAL: USD28.00 Number of order items (required) The item will be customized to your facial size. To enable us to determine your size, please submit a photograph of the Side Profile of your face with a Ruler placed aligned with your nose as shown in the sample image. Please make sure the Ruler is clearly visible in the photograph so that we can accurately obtain the size. Your Photograph (required) filetypes: jpg,jpeg,png size < 2MB 3.International Shipping Options Please select your preferred Shipping Options.(required) Direct Shipping from Production Facility For Direct Shipping from Production Facility, we will not be able to personally check the item for quality and the item will not be packaged with our Monocircus packaging. Time required for Production and Shipping will be 1 - 2 weeks. Cost of Shipping (from facility): US$ 9.00 to US US$ 12.00 to Canada US$ 9.00 to Netherlands, Belgium, Germany, Luxembourg US$ 10.00 to UK US$ 14.00 to the rest of EU US$ 15.00 to Australia, New Zealand US$ 30.00 to Asia Shipping from Monocircus studio in Japan For this option, the item will be checked for quality and packaged with our Monocircus packaging. Time required for Production and Shipping will be 3 - 5 weeks. More time may be required for Shipping due to delays related to Covid-19. Cost of Shipping (from Japan): US$ 30.00 4.Payment Options Please select your preferred Payment Options.(required) Credit Card Paypal 5.click SEND to submit your Order You will receive an order confirmation email and payment link URL from us within 24 hours of your Order Submission. If you do not hear from us or have any questions about the form, please email us at [email protected] If you have any comments, please write here. Thank You very much & Have a very Good Day!