日本語
Petition for Survival

Save BALANCE and Age-Taro — For the Future

Your signature will be used as a voice calling for the survival of this beloved shop.
We kindly ask for your name, signature, and a message of support.

The beloved BALANCE and Age-Taro, cherished for many years, are now facing a crisis of closure.
To protect this shop that has been loved by the community,
we humbly ask for your warm support.

Digital Entry Form
Signature & Message
SIGNATURE FORM
1
Full Name
2
Area / City (optional)
Email Address (optional)
3
Message of Support (optional)
Print — Signature Collection Sheet