Contact – Ozenji Eco Gurashi Kankyo-kan

Please choose the required form.

Contact Form
Event Application Form
Tour Reservation Form

Request event name Required

※ ex.key chain making, bus tour, etc

1st preferred date & time Required

Year　 Month　 Day　 Hour　 Minutes

2nd preferred date & time

Year　 Month　 Day　 Hour　 Minutes

3rd preferred date & time

Year　 Month　 Day　 Hour　 Minutes

Name of representativeRequired

Last name　

First name　

Postal code Required

〒

Residence address Required

As you mail lottery result, please fill out correctly

Phone number Required

- -

E-mail Required

Number of participants Required

※Please fill the participant's name and age in the following fields according to the number of participants.

Name of participant 1Required

Last name　

First name　

Age of participant 1 Under 20 is required

years old

Name of participant 2

Last name　

First name　

Age of participant 2 Under 20 is required

years old

Name of participant 3

Last name　

First name　

Age of participant 3 Under 20 is required

years old

Name of participant 4

Last name　

First name　

Age of participant 4 Under 20 is required

years old

Name of participant 5

Last name　

First name　

Age of participant 5 Under 20 is required

years old

If you have any other questions, please fill out here.

※If you have more than 6 participants, please write each name and age here.

★If the number of applicants exceeds the capacity, we wil draw a lottery and contact the winners only.

Group name/Individual name

Number of people Required

Number of classrooms

First Name Required

Last Name Required

Phone Required

Email Required

1st preferred date & time Required

Year　 Month　 Day　 Hour　 Minutes

2nd preferred date & time

Year　 Month　 Day　 Hour　 Minutes

3rd preferred date & time

Year　 Month　 Day　 Hour　 Minutes

If there are any other questions please fill out here.