フロイデン八千代

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.(※)