English Application Form_3

    1. Fill in the blanks and push "Send" button after confirming your application.
    2. Use ASCII Character.
    3. Personal information is used only for this site.

    Name of guided tour
    *First Name
    *Last Name
    *Postal Code  (e.g 123-4567)
    *Address
    *Phone Number  (e.g. 045-678-9012)
    and / or
    Mobile (e.g. 090-1234-5678)
    *E-Mail Address
    *E-Mail Address
    (for Confirmation)
    *Schedule Proposal
    Starting Time: AMPM Hour Minute
    Ending Time: AMPM Hour Minute
    *Total Number of Attendees
    *Meeting Time AMPM Hour Minute
    *Meeting Place Front of Nio-mon Gate at Shomyoji Temple
    Message to YKCGA
    Office Mail Address for test
     No confirmation windows. Check the checkbox if the above OK.