Your Name*
Email*
Telephone Number
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Postal Address (if different from above)

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Lamps - please write the name and code of the lamp you wish to purchase
Comments - How did you find out about us? If you saw one of our lamps at a retailer, please write the name of the shop here.
*
  I have read the Terms and Conditions of Sale
All orders will be confirmed via email. Please note, a postage and handling fee (min. $21.50) applies. This will be calculated and listed in the confirmation email.

Payment should be made after receipt of the confirmation email directly to:

Account Name: H & T Creations Pty. Ltd.
Bank Name: Macquarie Bank
BSB: 182512
Account Number: 961227022
Once payment has been confirmed, orders will be sent as soon as possible. As each lamp is crafted individually in Japan, please allow up to one month for delivery.