Request for Illustration Please feel free to contact Yukari MISHIMA by using this form if you would like to order her illustration or talk about the prices. (If you have any other inquiry, please fill another contact form.) Your Full Name (*Required) Your Company Name (Required if you are a corporate customer) Your E-mail Address (*Required) Your Website Your Telephone Number (*Required) Your Address (*Required) Are you a corporate customer or an individual? Corporate customerIndividual customer Your position in the project DesignerArt DirectorEditorAuthorProject ManagerAgentSubcontractorOthers Name of the client (if you are an agent or subcontractor) The illustrations are used on BookPicture bookEducational materialMagazine articleNewspaper articleE-bookNewspaper adMagazine adTV commercial filmPosterBrochureWebsiteOthers Size and the number of the illustrations Color of the illustration Full colorBlack and WhiteOthers Deadline of the illustration submission Please fill your budget for the illustration if you have the upper limit. (ex. 50,000 JPY per one illustration) The title of the project, event or article Message Please fill out the details of this project and specific requests. What kind of illustrations are required? (ex. XXX Publishing Co., Ltd. is now searching an illustrator for a young adults novel. We need 10 black-and-white small illustrations used in the texts and 1 full-color large illustration for the book cover. Dynamic, Energetic and Manga-style illustrations are preferred. The book is planned to be published in April 202X. The story is set in XXX city 300 years ago, ........)) Please attach any file if you have reference materials about the project. (The Maximum file size is 2MB) How long do you plan to use the illustrations? indefinite perioddefinite period (Please fill the specific time below) (ex. 3 years from the publishing date) The Copyrights of the illustrations are possessed by Yukari MISHIMA. Please be sure to let me know if the illustrations are to be used for any other purposes but mentioned above. Agree Do you agree that Yukari MISHIMA's illustrations created for this project are shown on her website, social medias, portfolio etc. after the project is completed? (*Yukari MISHIMA may decline your offer if you disagree with this) AgreeDisagree Questionaire (optional) How did you get to know Yukari MISHIMA's illustrations? TwitterFacebookInstagramBehanceTumblrLinkedInPixtaAdobe StockShutterstockiStockSolo ExhibitionRecommendation from someoneOthers Thank you so much for your time to fill out this form! A confirmation e-mail will be automatically sent to you after clicking the "Submit" Button.