Before adding to the shopping cart and checking out on PayPal's secure page, please submit the required information listed below. (English Text Only) *(denotes required field) ■ First Name: * ■ Last Name: * ■ E-Mail Address: * ■ Extra E-Mail Address: * This is to be used in case we can not reach you.Commonly used free e-mail is recommended,such as Gmail, Yahoo Mail. □ URL of your School (if any): Just for our translating and designing reference. ■ Layout Format (Landscape only): * Letter Tabloid A4 A3 Please select one. ■ Border Design: * Tuna Phoenix Dragon No Border (blank) Please select one. View Borders ■ Border Color: * Default Gray No Border Please select one. View Border Colors ■ A. Heading Text: * View Text Items ■ B. Name of the Award Recipient: * One person's name. View Text Items □ Name Pronunciation Guide: Required if the name is pronounced in non-English,or difficult to read. ■ C. Completed Course/Class: * e.g. "Sushi Cooking Course" View Text Items ■ Label Text: * ■ D. Award Text: * default: This is to certify that the person mentioned above has successfully completed the training program for the specified course in recognition of the great progress that he or she has made by the diligent study of (cuisine type) cooking. Please be in 50 English words. View Text Items ■ E. Date of Award: * View Text Items □ Date Format: N/A Month/Day/Year Day/Month/Year Year/Month/Day If the above is written in numerical notation,e.g. 9/6/2018 ■ Label Text: * □ F. Name of Organization/School form: If any. e.g. "Culinary School"View Text Items □ Cuisine Type: This will appear on the defaut logo image.If you use the default logo. e.g. "Sushi" ■ Name of the school: * ■ G. Signature line for Instructor(s): * One line (default) Remove Please select one. View Text Items □ Below-the-line Label Text: If any. ■ H. Name of the Conferrer: * One person's name. View Text Items □ Name Pronunciation Guide: Required if the name is pronounced in non-English,or difficult to read. □ Title of the Conferrer: If any. e.g. "Master Chef - Ita cho" ■ Hanko Stamp Image 1 (School Name): * Positive Type Negative Type None (blank) Please select one. View Items ■ Hanko Stamp Image 2 (Conferrer): * Surname only Surname and Brief Tittle None (blank) Please select one. □ Brief Title (if any): If any. Please be in brief. e.g. "Sensei" ■ Logo Image: * Default Image Customer's Image None(Blank) Please select one. View Items If you chose "Customer's Image",please send the image file via e-mail to us later.For details, please refer to the confirmation e-mail. ■ Watermark: * None Same as the Logo image Another Image Please select one. View Items If you chose "Another Image",please send the image file via e-mail to us later.For details, please refer to the confirmation e-mail. □ Additional Description: If any terms of Japanese origin,please let us know about them.e.g. "Wa-ryu Academy"Wa-ryu, meaning "Japanese Dragon" CAPTCHA Code: *