NIHON TO-KEN HOZON KAI 日本刀剣保存会

2020 San Francisco Shinsa RESERVATIONS FORM

Name: ______Date Submitted: ______(Family Name) (Given Name) (Middle init.)

Address: ______

City: ______State/Province:______(Zip): ______

Country: ______

Note: This address is where any Kantei-sho (Papers) will be sent. Any corrections should be made when you collect your items. ======Swords Submitted For Shinsa: Type Number Reservation Number Kantei-sho Submitted Submitted Total Passed Fee Total

Blades ______x$100? = $______======______x$150? = $______

Kodogu/Koshirae Summary Sheet

Kodogu/Koshirae ______x$100? = $______======______x$150? = $______

Reservation Total: ______$______$______

GRAND TOTAL BALANCE $______(to be completed by cashier)

By Shinsa Cashier: Received Origami Fees on ______by ______

Comments or Special Instructions: ______

BY CUSTOMER: I have received back all items submitted to the Shinsa by me (with tag numbers noted on back) in good order and condition:

Signed:______Date: ______NIHON TO-KEN HOZON KAI 日本刀剣保存会 NTHK 2020 San Francisco Shinsa

Katana/Kodogu/Koshirae Shinsa 2020 Tag Numbers for ______

Tag Number Item Type Passed Comments / Points

1.______To-ken ______Kodogu, ______Koshirae______Yes No

2. ______To-ken ______Kodogu, ______Koshirae______Yes No

3. ______To-ken ______Kodogu, ______Koshirae______Yes No

4.______To-ken ______Kodogu, ______Koshirae______Yes No

5. ______To-ken ______Kodogu, ______Koshirae______Yes No

6.______To-ken ______Kodogu, ______Koshirae______Yes No

7. ______To-ken ______Kodogu, ______Koshirae______Yes No

8.______To-ken ______Kodogu, ______Koshirae______Yes No

9. ______To-ken ______Kodogu, ______Koshirae______Yes No

10. ______To-ken ______Kodogu, ______Koshirae______Yes No

11. ______To-ken ______Kodogu, ______Koshirae______Yes No

12. ______To-ken ______Kodogu, ______Koshirae______Yes No

13.______To-ken ______Kodogu, ______Koshirae______Yes No

14. ______To-ken ______Kodogu, ______Koshirae______Yes No

15. ______To-ken ______Kodogu, ______Koshirae______Yes No

16. ______To-ken ______Kodogu, ______Koshirae______Yes No

17. ______To-ken ______Kodogu, ______Koshirae______Yes No

18. ______To-ken ______Kodogu, ______Koshirae______Yes No

19. ______To-ken ______Kodogu, ______Koshirae______Yes No

20.______To-ken ______Kodogu, ______Koshirae______Yes No

Blade Types: Tachi, Katana, Wakizashi, Tanto, Yari, Naginata, Nagamaki, Yajiri, kogatana, other

Kodogu Types: Tsuba, Fuchi/Kashira, Menuki, Kozuka, Kogai, Kurikata, other:

Koshirae Types: Tachi, Katana, Wakizashi, Tanto, Aikuchi, Yari, Naginata, other: If mailing a check;

1. Print out the registration form (you may send a scan if using Paypal) 2. Complete the form and send to address below. 3. Include your check or money order for the registration fees only. (Total must include $100 ea. for the total number of slots you want.)

Note: Fees for certificates are to be paid at the time of the Shinsa for all items that pass. We will only accept CASH on the day of the shinsa. The cost for each item that passes is an additional $150.00.

Please tell us your preferred time of Shinsa: Friday: AM PM Saturday: AM PM Sunday: AM PM

Send Shinsa Reservations and checks for any payment to:

NTHK 2020 Shinsa P.O. Box 3013 Los Altos, California USA 94024-0013

The 2020 NTHK Shinsa is brought to you in conjunction with the 2020 Northern California Japanese Sword Show -

www.ncsjc.org

Note: If you have trouble printing these forms email us and we’ll send them to you;

[email protected]

page3