Form for new registration & order for the 1st delivery

Only for now! "Bring Along Your Friends" campaign !!

We offer 4 boxes (12 bottles) or 2 boxes (6 bottles) of Shinano Yusui for FREE !

Who Can Apply This Campaign?

Who can join this campaign? : Our customers who have ever purchased "Value or Standard" of Shinano Yusui.

What do you do? : Please introduce your friend (=New customer of Shinano Yusui) who has keen interest in buying "Value or Standard" of Shinano Yusui.
If the delivery addresses of you and your friend are the same, not qualified.

How to introduce : Please fill the contact info of your friend in "Your enquiries" at the bottom part of the page when you send "Delivery order", "New registration" or "Enquiry" to us through this website.
Only introduction through this website is acceptable for us to keep records for this campaign.

＊No matter how many friends you introduce. We will love it!

What Does Your Friend Do?

Your friend places a purchase order of "Value or Standard" of Shinano Yusui at the "New registration" page of this website.
Only purchasing through this website is acceptable for us to keep records for this campaign.

Free Bottles Both for You and Your Friend

If your friend purchases "Value", 2 boxes (6 bottles) each for FREE to both of you and your friend will be given away.
If "Standard", 1 box (3 bottles) each for FREE.
*The number of free bottles is limited. So please apply this campaign ASAP.
*The free bottles are gifted only once per one introduced friend.

※Package Detail

Campaign Price for the Launch of Shinano Yusui !!!

Package The number of
vouchers The number of
boxes The number of bottles Price including VAT (THB)

Package price Per box Per litre

Trial 1 2 6 1,926.0 963.0 40.1

Standard* 3 6 18 5,585.4 930.9 38.8

Value* 6 12 36 10,689.3 890.8 37.1

*For a limited time only as a part of our launch campaign,
　we will give away a "room temperature table-top water dispenser" for free
　to each customer purchasing a Standard or Value Package.
　This offer is limited to one unit of the dispenser per customer.
　The offer is valid while stocks last.

Official Price

Package The number of
vouchers The number of
boxes The number of bottles Price including VAT (THB)

Package price Per box Per litre

Trial 1 2 6 2,054.4 1,027.2 42.8

Standard 3 6 18 5,970.6 995.1 41.5

Value 6 12 36 11,556.0 963.0 40.1

※Delivery Day and Time

Area Day
(except for public holiday) Time Delivery Fee
(THB)

1 Sukhumvit and its suburbs Monday to
Saturday
Please choose your favorable delivery time frame/zone below;

1) 10:00~12:00
2) 12:00~14:00
3) 14:00~16:00
4) 16:00~19:00
Free of charge

2 Bangkok Urban Region other than 1 above

3 Areas other than
1&2 above Please contact us beforehand
(1) for the case we may be unable to deliver and (2) to confirm the actual delivery costs. Actual costs,
such as EMS

　We will contact you if delivery is delayed by unavoidable circumstances, such as bad
　weather, busy traffic and so on.

※Minimum Order & Unit of Order
　 Min = 2 boxes. Unit = 2 boxes.

※Deadline for Placing an Order
　(1) Area 1 in the table above; Please place an order at latest 3 hours prior to
　　 your favorable delivery time.
　(2) Area 2 in the table above; Please place an order by one working day prior to
　　 your favorable delivery day.
※Validity of Vouchers
　1 year from date of issue. (No refund of vouchers are available.)

※Form of Payment
　(1) The package price shall be paid by cash on the first delivery day or by the
　　 bank transfer before the first delivery day.
　(2) From the second delivery onwards, the boxes delivered shall be exchanged
　　 for the vouchers. (1 voucher = 2 boxes)

※ If you don't receive any reply from SIAM CITY MART Co.,Ltd.
　 after 2 working days of your order, please contact us either by calling at
　 02-712-3979 or sending us an email (water@siamcitymart.com).
※ All of our customer's personal information shall be carefully managed by
　 SIAM CITY MART Co.,Ltd. and shall not be used for any other than
　 the purposes regarding distribution of Shinano Yusui.

Customer information ： *required field.
When used in office / shop, fill in name and contact information of the contact person.

Package ： *

Place of use ： Household 　 Office / Shop

Name ： Mr. Ms.
*
Enter given name followed by surname in English.

Company name ：

Enter company name, only when used at office / shop.

Delivery address ： *In English

Email ： *

Mobile phone number ：
*

Land line phone number ：

Favorable date and time, number of boxes for the first delivery ：　

Favorable date and time ： * Month * Day　
* Day of week

Time Frame *

Number of boxes for the first delivery ： *

How did you find Shinano Yusui ?

*

Your enquiries ： up to 200 words.