How to submit
・Print out this form and fill in the blanks.
・Write your name on the photo.
・Put them in a envelope and send it to us!
※Please understand that we don't send it back.
※We might edit your comments when we think it's necessary.

Name Age

zipcode Address

TEL     -     -     FAX     -     -    

E-mail SEX    male / female

Where you took

The year month you took

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