入力内容保存/読込

Illustration competition entry form

is essential.
Name*
First name 
Last name 
Artist name

If you have besides your real name.
Gender*
Email address*

For confirmation
Address*

Please fill it out precisely so that mailpostal items arrives.
Nationality*

Your home country
Phone number*
How many pieces you apply?

JIA member means a member of Japan Illustrators' Association.
Make sure the total amount matches the amount you chose above.*
商品名
単価
注文数
小計
1st piece
4,200円
piece
2nd and 3rd piece (non member)
3,200円
piece
From 4th piece (non member)
2,200円
piece
From 2nd piece (JIA member)
2,200円
piece
お支払方法:[支払手数料]
[合計]
The title of the images*

Fill in the title in 40 characters to each image.
Used art supplies or application soft
*
Message
The data of your images
Select the file up to 6 MB.making a zip file or compressed files.
You can attach three files up to 6MB.

Check the privacy policy agreement.*

 privacy policy