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Please enter necessary items in the following form, and press the button of "Confirmation of registered contents". ※Reservations are not availlable from this form.

Please enter necessary items in the following form, and press the button of "Confirmation of registered contents".

Select a shop

Please enter up your contact message Necessary: Please enter up to 1000 double-byte characters

Name Necessary

E-mail Address Necessary

Email Address(confirming ) Necessary

Phone Number Necessary

Age

Sex: Male Female

Occupation: Student Office worker A board member Public staff Self-employment Housewife Others

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Registered information will be managed based on the provisions of Torafugu-tei. Please check details fron the following page.

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