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【Retreat Application】リトリート申込書
Application completes by depositing non refundable 200USD. お申し込みは返金不可の3万円のお代金のお支払いをもって完了いたします。
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* Indicates required question
Email
*
Your email
Name // 名前
*
Your answer
Select retreat // リトリートをご選択ください
*
November 2024 // 2024年11月
Name in Passport// パスポートのアルファベット名
*
Your answer
Current Address // 現住所
*
Your answer
Phone No. // お電話番号
*
Your answer
Emergency Contact // 緊急連絡先のお電話番号
*
Your answer
Room preference // 希望のお部屋
*
Single occupancy // 一人部屋
Other:
Any comments // 自由記入欄
Your answer
A copy of your responses will be emailed to the address you provided.
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