TOTE AS CANVAS DESIGN AWARDS Application Form
*The personal information you submit it will be limited to contacting you about the design award and will not be used for any other purpose without your permission. For more details, please see our privacy policy.

Please make sure that you have filled out all the sections marked with *. If there is an omission, we can not accept your application.

Please enter the information to be apeared on our homepage.
The following items appear on our website.
Name (or handle)*
Age*
Gender* Male   Female
School or occupation Corporate employee  Self-employed  Government or association employee 
Graduate student  Undergraduate  Vocational school student 
Senior High school student  Junior high school student  Homemaker 
Other 
Title of your art piece*
Days required to produce* day(s)
Comment about your piece*
Subject matter*
Profile
Difficulties, points of interest, etc.
Image file(s)
Send a JPEG which has a file name with half-width characters and numbers
*


Items for our company only
The following items do not appear on our website.
In the future, when applicants are contacted by our company, we will use this information, so please fill it in.
Name*
country*
Zipcode*
Address*
Telephone number*
(half-width characters and numbers)Start from the area code

Email address*
*Input half-width Roman characters and half-width numerals.

(re-enter to confirm)
How did you learn about these awards?
Serial number
*Your serial number is specified on the name tag inside your tote bag. Please fill in that number.

Press the confirm button after you fill out the form