Application

Application Form

FREUDEN Yachiyo Application of Waiting List



Fill in the form below and press the "Confirm" button.
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（※）Required

Name（※）
E-mail Address（※）
E-mail Address(confirm)（※）
Postal code
Address（※）
Phone（※）
Phone2
Fax
Occupation

Please answer the following questions.

1.How did you hear about us?（※）	Newspaper (Specify) Homepage Friend/Acquaintance other（）
2.Have you been in Takacho?（※）	Yes → How many times?（times） On what purpose?（） No
3.Have you actually seen a Community Gardens with Lodging before?（※）	Yes　→Facility name： No
4.How many people will be staying on a regular basis?（※）	1 2 more than 3
5.Let us know what motivated you to be our member.（※）