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Kintsugi Repair Request

Traditional Urushi Kintsugi Commission
Thank you for considering a traditional urushi kintsugi repair through Hibi to Utsuwa.
Please complete this form and upload photographs of your item.
After reviewing your request, I will contact you with a personalised quotation and an estimated turnaround time.
Submitting this form does not confirm your commission.

Contact Information

First Name

Last Name

Email

Phone Number

Country of Residence

Your Damaged Item Details

Please upload photos of your item.

Overall view of the requested item

Close up view of the damaged part of the requested item

Damage Type

You can select more than one option if applicable.
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Total length of the damaged area (cm)

Material of the damaged part

If you are unsure about the material, please select "Other" and provide additional information. Please note that not all materials are suitable for traditional kintsugi repair.

About Your Repair

Would you like to share the story behind this item? (Optional)

This is entirely optional, but I enjoy learning about the objects I repair.

Confirmation