Changes after purchase, including adding free Roman alphabet printing, are not possible. Designs with free printing will indicate its presence or absence, so please be sure to check the following order details before proceeding: ⚪︎Mother and Child Health Handbook Cover A6 Dusty Pink Check 680 yen No Printing ※No free printing ⚪︎Medicine Handbook Cover A6 Dusty Pink 680 yen No Printing ※No free printing Clear Cover A6 2 items 300 yen Total: ¥1660 Please agree to the terms of service and precautions before purchasing. We are not responsible for errors in size or printing, so please be careful. chico