Message to KANAME’s Gallery Please input to ※ without omission. YOUR NAME ※ YOUR MAIL ADDRESS ※ YOUR MAIL ADDRESS※ SEX ※ Male Female YOUR BIRTH DAY ---190019011902190319041905190619071909190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013←Year ---123456789101112←Month ---12345678910111213141516171819202122232425262728293031←Day YOUR ADDRESS When you input the ZIP code, the characters are automatically input to other columns. ZIP CODE － ADMINISTRATION DIVISION TOWN/VILLAGE HOUSE NUMBER YOUR PHONE NUMBER －－ Upload Picture Upload Picture Upload Picture BODY of YOUR MESSAGE ※