入力内容保存/読込
保存したデータ読込
現在の入力内容を保存
保存データ削除
保存日:
JIA Illustration Award entry form
*
is essential.
Real name
*
First name
Family name
Your name in English and Capital Letters.
(e.g. ICHIRO SUZUKI / MICHAEL JORDAN)
Artist name
If you have besides your real name, write in capital letters.
Gender
*
Male
Female
Email address
*
Please set up so that you can receive compe@jpn-illust.com.
PC mail is recommended.
Real address
*
Postal code: Building name and room number: Town: City: State or province: Country:
Please fill it out precisely so that mailpostal items arrives.
Phone number
*
Please fill in from the country code.
Please select one from the items below and enter "1" in the number of orders.
JIA means Japan Illustrators' Association.
*
商品名
単価
注文数
小計
One piece (general)
5,000円
set
円
Two pieces (general)
9,000円
set
円
Three pieces (general)
12,000円
set
円
Four pieces (general)
14,000円
set
円
Five pieces (general)
15,000円
set
円
One piece (JIA member)
4,000円
set
円
Two pieces (JIA member)
7,000円
set
円
Three pieces (JIA member)
9,000円
set
円
Four pieces (JIA member)
10,000円
set
円
Five pieces (JIA member)
11,000円
set
円
お支払方法:
PayPal(カード/口座決済)
[支払手数料]
円
[合計]
円
PayPal name
If the application name and PayPal name are different, please fill in
The title of your works
*
1. 2. 3. 4. 5.
Number your works consecutively and enter a title for each work within 20 characters in English.
Used art supplies or application soft
*
Please tell us in English what did you use art supplies or application soft to create your works.
(e.g. Watercolor / Procreate)
Comments on your works
*
Please tell us the concept of your works in 500 characters in English.
The data of your images
Select the file
up to 2 MB.
making a zip file or compressed files.
If you want to send multiple copies of your work, please compress them into a Zip file up to 10MB.
Check the privacy policy agreement.
*
I agree.
privacy policy
Submit
このフォームは
Formzu
で作成しました。