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How to fill in the order form — a sample, field by field

About this page: the panels below are an illustrated sample of our Japanese order form (Shopmaker), redrawn in English — they are not screenshots. The shop tested the real form on 1 November 2026 with a dummy order written entirely in romaji: every field accepted English letters, and the order reached the confirmation screen with no errors. No real order was placed in the test.

Step 1 — Cart screen

<< Cart >>
Productアースヘナ スーパーナチュラル (EARTH HENNA Super Natural)
Price / Quantity¥1,320 × 1 ▾ Quantity is a dropdown, 1–20.
Total¥1,320 Shipping and fees are added later, on the confirmation screen.

First-time customers: leave 「ID登録していない方はこちら(初めての方)」 selected, then press:

お客様情報入力画面へ >> ( = Go to the customer details form)

Step 2 — Your details (お客様情報)

Fields marked * are required. The sample below uses a made-up person — please enter your own details.

<< お客様情報入力画面 >> (Customer details)
氏名 *Full nameJane SmithRomaji is fine.
ふりがな *How your name is readJane SmithEnter your name again. Katakana if you can — romaji also works (tested).
E-mail *Email addressjane.smith@example.comHalf-width characters. Your order confirmation is sent here.
E-mail(確認)*Email, againjane.smith@example.comType the same address once more.
郵便番号Postal code262 – 0032 住所検索Two boxes, numbers only. Not marked required, but it is the most important field for delivery. 「住所検索」 looks up the Japanese city/town for your code.
都道府県 *Prefecture千葉県 ▾Choose from the dropdown (千葉県 = Chiba).
市区町村・町域 *City / ward / townChiba-shi, Hanamigawa-ku, Makuhari-choRomaji is fine.
番地等 *Street number / building / room1-7693-35, Bay Cosmo 1FRomaji is fine. Don’t forget your building and room number.
電話番号 *Phone number090 – 1234 – 5678Three boxes, numbers only. A mobile the driver can reach you on is best.
お支払い方法 *Payment method ○ クロネコwebコレクト Choose this for credit card / convenience store / e-money (you pay on a dedicated screen after ordering). ○ NP後払い Pay after delivery (convenience store / post office / bank). ¥200 fee, free at ¥4,980+. Invoice posted separately — pay within 14 days. ○ 代金引換(クロネコヤマト)Cash on delivery — pay the driver. A COD fee applies (¥315 for a small order).
メールマガジン配信Newsletter (Japanese)希望しない ▾It starts on 希望する (“subscribe”). If you don’t read Japanese, choose 希望しない (“no thanks”) as in this sample.

Step 3 — Delivery address (商品お届け先)

<< 商品お届け先 >> (Delivery address)
Same as your own address?Choose 注文者ご本人様 ▾ and press 以下に自動入力するThis copies all your details into the delivery block — no need to type them twice.
お届け希望時間帯Delivery time slot (Yamato)午前中 ▾Morning / 14:00–16:00 / 16:00–18:00 / 18:00–20:00 / 19:00–21:00. A delivery date cannot be chosen.
備考Remarks (optional)(leave blank, or a short note)

The optional 「お客様IDを発行する」 (customer ID) can be left unticked — you don’t need an ID or password to order.

When everything is filled in, press:

内容確認画面へ進む >> ( = Go to the confirmation screen)

Step 4 — Confirmation screen (ご注文内容確認)

<< ご注文内容確認 >> (Please check your order)
Example total — 1 bag, cash on deliveryProduct ¥1,320 + Shipping ¥660 + COD fee ¥315 = ¥2,295Shipping and fees appear only on this screen. Free shipping on product totals of ¥5,000 or more.

Check your name, address and total. Then tick the box and press the order button:

☑ 注文内容最終確認 ( = I have checked my order)

-この内容で注文する- ( = Place this order)

This button places your order. Press it only when everything is correct. A confirmation email will be sent to your address — please keep it until your parcel arrives.

Need help? Email us in English at shop@earth-by.com — we can read your address in English (romaji) as long as the postal code is correct, and we are happy to help you place your order. We ship within Japan.

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