Changes after purchase, such as adding free Roman letter printing, are not possible. Designs with free printing will indicate whether it is included, so please be sure to check the order details below before proceeding. Photo 1 ⚪︎Mother and Child Health Handbook Cover A6, Cardboard Only Brown Beige, 680 yen, Bear No Printing ※No Free Printing Photo 2 ⚪︎Mother and Child Health Handbook Cover B6, Cardboard Only Sand Beige, 680 yen, Bear Size Change, 150 yen No Printing ※No Free Printing Total: ¥1510 Please agree to the terms of service and precautions before purchasing. We are not responsible for any errors in size or printing, so please be careful. chico