Application Form

Ofuda Application Form

Kannon-ko, Grand Goma Ritual & Jizo-nagashi (June 18th)

June18

Kannon-ko, Grand Goma Ritual & Jizo-nagashi

From 10:00 AM Chuzenji Tachiki Kannon

📋 Please check before applying

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Applicants will receive a blessed ofuda talisman. The participation fee is ¥3,000 per person (includes the ofuda talisman).

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If you choose cash on delivery, the ofuda talisman will be shipped. Shipping is ¥1,000 per destination.

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Payment can be made on the day, on site, or by cash on delivery (shipped).

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If applying as a family or group, please fill in applicants ①–⑩ in addition to the representative's information.

Payment Method *Required

Representative's Wish

Written on the ofuda alongside your name

Applicants ①–⑩

If applying as a family or group, use the + button to add members other than the representative (optional)

RepresentativePay On-Site on the Day¥3,000

Participation Fee Subtotal:¥3,000

Total Amount:¥3,000

Apply by Phone

TEL:0288-55-0013

Hours: During visiting hours (8:00 AM–5:00 PM)