Changes after purchase, such as adding free Roman letter 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, Cardboard Only Dusty Pink 680 yen, Rabbit No printing ※No free printing Total: ¥680 Please agree to the terms and conditions and precautions before purchasing. We are not responsible for errors in size or printing, so please be careful. chico