申込書
Name
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿ Surname
_____________________________________________________
(名)
(姓)
Number
of group members
_________________________________________________________________________________________
(グループの人数)
Date of Birth __________________________________________ Profession ___________________________________________________
(生年月日)
（職業）
Nationality
______________________________________________ Mother
Tongue
____________________________________________
(国籍)
（母国語）
Home Address
_____________________________________________________________________________________________________________
(住所)
_________________________________________________________________________________________________________________________________
Tel.
________________________________________________________ E-mail
_______________________________________________________
Description
of the program desired (プログラムの内容についてのご希望)
Tailor
Made Program (目的別プログラム)
Weekly
Program by Theme (スタンダード・プログラム)
From
(date of arrival)
_______________________________
To (date of departure)
____________________________________
(到着日)
(出発日)
Accomodation
_____________________________________________________________________________________________________________
(滞在形式)
I
enclose a copy of the deposit (内金の送金証書を同封します)
Place
and date
Signature
(お申込みの日付・所)
(サイン)