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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
Furigana
Name ※Required
Example: Taro Yamada
Furigana ※Required
Example) Taro Yamada
Sex
Date of Birth ※Required
Year Month Sun 
age ※Required
age
Zip Code ※Required
Example) 012-3456
prefectures ※Required
Municipality ※Required
Street number, shop name, etc. ※Required
Phone ※Required
Example) 012-345-6789 * Mobile phones are available
FAX
Example: 012-345-6789
E-mail address ※Required


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