New Year's Day Special Goma Prayer Ritual Application Form

January 1st

Jan1

New Year's Day Special Goma Prayer Ritual

From 12:00 AM Chuzenji Tachiki Kannon

Please choose how to apply

📋 About applying by cash on delivery

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Choose from 4 ofuda sizes (¥5,000–¥30,000).

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The form below is for cash on delivery only. Shipping and handling fees are charged separately.

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Up to 5 people can be included in a single application. Applications close once capacity is reached.

Representative's Name *Required

Email Address *Required

Phone Number *Required

Postal Code (Optional)

Address *Required

Ofuda *Required

5,000円28㎝*10cm10,000円32㎝*11.5cm20,000円38㎝*12cm30,000円42.5㎝*13cm

Representative's Wish

Written on the ofuda alongside your name

Wish 1 *Required

Wish 2 (Optional)

Applicants ②–⑤

Up to 5 people including the representative. Please list members other than the representative here (optional)

If you want the item shipped to the address you enter here rather than the representative's address, please select "Ship to a different address".

Applicant②

Ofuda

Shipping

Applicant③

Ofuda

Shipping

Applicant④

Ofuda

Shipping

Applicant⑤

Ofuda

Shipping

Notes (If a wish is not on the list, please write it here)

Apply by Phone

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