Thank you for your cooperation in crowdfunding. Please fill out the form and submit it.

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Email *

Your name *

Postal code

Please fill in only if you live in Japan.

Home address

Please fill in only if you live in Japan.

Mobile number

Please fill in only if you live in Japan.

Choices of return *

[0-A] Thai restaurant Khaoniawhils special set [6,000 yen]

[1-A] Simple support plan with original T-shirts [3,000 yen]

[1-B] J-Hoppers Lodging discount coupon for all locations [2,000 yen, 2,500 yen worth]

[2-A] Court rental discount [8,000 yen]

[2-B] One-coin futsal coupon: 5 sessions for the price of 4 (normally 2,500 yen)

[3-A] Weekday group use, 1 night with 3 meals [7,500 yen/person]

[3-B] Weekend (Sat, Sun, Holiday) group use 1 night with 3 meals [8500 yen/person]

[3-C] Biwagoichi restaurant barbeque discount coupon [3,000 yen (normally 3,500 yen)]

[3-D] Weekday (Weekday night and Sunday night) whole building reserved use for 150,000 yen

[3-E] Saturday night or the day before holiday night stay whole building reserved use for 250,000 yen

[4-A] Restart Fair #1, 1st one to use the futsal court [60,000 yen]

[4-B] Restart Fair #2, Pick-up games for intermediate players [2,000 yen]

[4-C] Restart Fair #3, Pick-up games for beginners [2,000 yen]

[4-D] Restart Fair #4, Walking soccer [1,500 yen]

[4-E] Restart fair #5 Parent-child futsal [3,000 yen]

Required

If you would like more than one return

Please write the number of returns. [1-A] x 2 and [3-C] x 4

Additional support

You can add support money. Please enter only the [additional amount].

Payment method *

Credit card (a payment link will be sent later)

Remarks

[For those who choose T-shirts] Please enter the color (light yellow or indigo) and size (XS, S, M, L, XL). [For those who choose court rental or training camp] You can request the date and time at a later, but please enter the name of your organization and when it will be held at the moment. [For those who choose Parent-child futsal] Please enter the child's name and grade.

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