A haircut class attendance application, inquiry form
Full name  *Full size
E-mail  *Half size alphanumeric character
E-mail reconfirmation  *Half size alphanumeric character
Homepage address  Half size alphanumeric character
Phone number (cell-phone possibility)
  Example01-2345-6789 *Half size number
The generation  
Sex (please choose it.)  Woman   Man *
Zip code:   example123-4567 *Half size numbe
Please fill it out to an address (the name of a country, metropolis and districts name, city and district municipalities name) house number, an apartment name, a room number.  
Full sise
The hope haircut attendance course name *
The hope haircut class attendance number of times  *
The hope haircut class attendance starting date  year  month day *
Tuition payment method desired:  *
Please fill in haircut class attendance application contents, inquiry contents. *Fill sise
※ The seal is a required item.
※ I inform a schedule and the transfer account number of a bank or the post office by a telephone or an E-email as soon as an attendance application, request book foam arrive. In addition, I send the answer of inquiry contents.


inserted by FC2 system