Application for delivery of sushi, sets, rolls, sashimis, spicy sushi, salad

Name, last name:*

Your address: *

Delivery date and time:*

Phone (s) (it is desirable to specify mobile)*

E-mail:

List of producrs you are needed:*

Quantity:*

Additional requirements:

Date of registration of the Application:

It is fielled automatically at sending of the Application

Notes.1. The data designated by a badge *, is obligatory for filling the form.
2. To be convinced of that your Application sent through the Internet is accepted, call by phone
+38 0532 69-03-75
+38 066 497 5730.