Changes after purchase, including adding free Roman alphabet printing, are not possible. Designs with free printing will indicate its presence or absence, so please be sure to check the order details below before proceeding. ⚪︎Mother and Child Health Handbook Cover A6, Cardboard Only Rose Brown ¥680 No printing ※No free printing Total ¥680 Please agree to the terms of service and precautions before purchasing. We are not responsible for errors in size or printing, so please be careful. chico