Special Request Inquiry Form

First Name:

Last Name:

Your primary e-mail address:

Maker of item you are inquiring about:

Model # of item you are inquiring about:

Approximate price of item you are inquiring about:

How many are you looking for?

Please let us know, if you know, the original market this item was sold in (ie, USA, Japan, Europe, etc):

Which form of payment do you prefer? (You are not being asked to pay us anything, we are simply taking a poll.) PayPal Check/Money Order/Western Union/Bank Transfer

Comments & Special Instructions:
Please tell us anything else about the item(s) you are looking for here.