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Fire Skewer Application

Fire Skewer Application

Prayer matters※Required
Prayer ceremony fee※Required
Company Name
Only when applying as a company
Phonetic Spelling
First Name※Required
Example: Taro Yamada
Phonetic Spelling※Required
Example) Taro Yamada
Sex
Date of Birth※Required
Years 
Month 
Sun 
age※Required
age
Address※Required
Postal Code 
Street number, shop name, etc.
Phone Number※Required
Example) 012-345-6789 * Mobile phones are available
FAX
Example: 012-345-6789
Email Address※Required


* Re-enter for confirmation
Remarks
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Araki Jinja
Zip code:612-0805
12-3, Fukakusakaidoguchicho, Fushimi-ku, Kyoto-shi, Kyoto
TEL.075-643-0651
FAX. 075-644-0170
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