Ceramic Trial Lessons Application form
Please fill out the form below and press the [Send] button to apply. We will check the contents and reply.
If you do not receive an auto reply, please change a set to receive emails from 
contact us to s-rayart@nifty.com ].
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Your name *
e.g. : Ray Shibuya
Your name written in Kana (Japanese character)
e. g. : レイ シブヤ
Email address *
e.g. : s-rayart@nifty.com
We will reply to the email address you entered, so please be careful not to make a mistake when entering.
Phone number *
e. g. : 012-3456-7890
Please select your Lesson *
Please pay your fee at the office before the lesson starts.
Date (First choice) *
e.g. : 2022/10/25
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Day and time (First choice) *
Tue・Wed・Thu 10:30/ 13:30/ 16:30/ 19:00 Sat・Sun 10:30/ 13:30/ 16:30
Date (Second choice) *
e.g. : 2022/10/25
MM
/
DD
/
YYYY
Day and time (Second choice) *
Tue・Wed・Thu 10:30/ 13:30/ 16:30/ 19:00 Sat・Sun 10:30/ 13:30/ 16:30
Please let us know the number of people if you are attending with more than one person.
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