ORDER FORM

please fill in your information

■Customer Full Name
*Required
■Want to change name.(This name will be changed to Kanji for calligraphy)
*Required
　*Max 12 characters
■Sex
  • 　　
■Age
■Country
*Required
■E-mail
*Required
■Conform E-mail
*Required
■Would you like to send by post of the real goods?
*Required
  • 　　
■Delivery Name
*Required
■Zip Code
*Required
■Delivery Address
*Required
■Phone Number
*Required
■Other items of note
Please take a few minutes to fill out this survey.
■What is the use for this goods?
■Do you want to go to Japan?
  • 　　
■Have you ever visited Japan?
  • 　　
■Do you want to try Japanese Calligraphy?
  • 　　
■Where did you learn of this site from?

*The item image on the website is of a sample.

*Only payment method paypal.

*We will ship(send E-mail) the goods(PDF) once we confirm payment.

*The delivery of the completed goods(PDF) will be send E-mail. If you want to ship a goods(PDF) of the real goods, we can send it. But need additional charge.

*This string is limited to 12 characters.

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