▼Application and Payment

◆ Cancellation is NOT ACCEPETED after we receive your order.
◆ If you cancelled after placing order, we will change you the cost we paid before your cancellation.

I, hereby, confirmed and agreed to
- Service of PDR West Japan
- Price
order the PDR treatment and international transporation service.

Name

Gender

Man

Woman

Relationship with the deceased person

Nationality

Address (including postal zip code)

Phone number

E-mail

Religion of the deceased person

Job of the deceased person

Address of the deceased person in Japan

Address of the place where the remains is preserved

I am sure to pick up the remains in the airport.

<<Payment>>　▼Please proceed payment of the HALF PRICE (at least) in our quote before starting PDR treatment.

how payment

1) Payment via Paypal　→We will send Paypal payment request message to your email address. You can proceed payment with credit card safely.

2) T/T remittance through bank　→After you proceeded international remittance, please send the remittance certificate issued by bank to us on email.

3) Payment from the insurance　→Please inform us of the detail.

Our Privacy Policy applies.

Note: Please fill out the fields marked with an asterisk.

※About cremation and transportation bone, please ask us.