【 Registration Form 】

(*) Required items
◆Regisrant Information*◆

YOUR NAME*
NAME PREFERED ON TAG*
TITLE*

CLUB NAME*
GROUP*




OFFICE IN Y'SDOM
(at July-2019)

COUNTRY*
DISTRICT*
REGION*
AREA*


◆REGISTRATION UNIT◆

REGISTRATION UNIT*

REPRESENTATIVE NAME
(If Group Reg.*)

The person you will register
(If Group Reg.*)



◆EMAIL ADDRESS◆

In case of group registration, the auto reply message isn't sent.
We will send an email later to confirm your registration.


MAIL ADDRESS*
MAIL ADDRESS (confirm)*

◆EXCURSION*◆


1st choice
2nd choice
3rd choice

EXCURSION COURSE(July 20)
【C1】Sendai city and Arahama,Iwanuma,Yuriage~Coastline course
【C2】Minami-sanriku,Okawa-elementary school~Tsunami reality and reconstruction course
【C3】Around Higashi-Matsushima and Matsushima course
【C4】Fukushima Daiichi nuclear plant course

◆DINNER PARTY◆

July 19*
July 20*


◆GOLF TOURNAMENT & EVE PARTY ON JULY 18◆

Golf Tournament : JPY17,000, Eve Party : JPY6,500

Golf Tournament*
Eve Party*


◆ITINERARY◆

Arrival date & Time
Arrival location
Arrival flight
Departure date & Time
Departure location
Departure flight


VISA*


◆COMMENT◆

Please let us know if you have any special requests or questions.We will reply as soon as possible.

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FIRST NAME
LAST NAME
NAME PREFERED ON TAG
TITLE
CLUB NAME
GROUP
OFFICE IN Y'SDOM
MAIL ADDRESS
REGISTRATION UNIT
REPRESENTATIVE NAME
Is this a representative?
COUNTRY
DISTRICT
REGION
AREA
EXCURSION
>>1st choice
>>2nd choice
>>3rd choice
DINNER PARTY(July 19)
DINNER PARTY(July 20)
GOLF TOURNAMENT
EVE PARTY
ARRIVAL DATE
ARRIVAL LOCATION
ARRIVAL FLIGHT
DEPARTURE DATE
DEPARTURE LOCATION
DEPARTURE FLIGHT
VISA
COMMENT