Shinto Ceremony Application Form
Shinto ceremony for the prayer fee
Individuals from THB 2,000
Company/Organization from THB 7,000

If you would like to paticipatei in a Shinto Ceremony for the prayer, please use the "Shinto Ceremony Application Form" below. Once we have received your request form, we will contact you by return to the email address you provided.f you do not receive a reply within 3 days, we may not have been able to send the form correctly. We apologize for the inconvenience, but please apply again.

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Please let us know what you are praying for.  *
Date and time
Please indicate the date and time of your visit. If you cannot come to the shrine, please indicate "No visit" in the remarks in the last section
MM
/
DD
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YYYY
Time
:
Name *
Please fill in the  first name-middle name-last name  of the person who will receive the prayer. If you are a company or an organization, please fill in the name of them.
Address 
*
Date of birth
Please fill in if you are praying for an individual. 
MM
/
DD
/
YYYY
Name of parents
For First visit of a child to the shrine, Shichi-Go-San or Shrine visit made by 13-year-old children, please fill in the names of the parents and relationship to the person for whom you are praying (e.g., eldest son).
For companies and organizations 
Please fill in the name of the representative.
Telephone number
*
Please fill in your contact information. 
Email address
 If you have an e-mail address, please enter it so that we can notify you of the completion of your application at a later date. 
Remarks 
Please fill in any other information not listed above.
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