Your Name (お名前) required/必須

Your Email (Eメール) required/必須

Your organisation name (組織名) required/必須

Your Message/Explanation (メッセージ)

Expected starting date of the course （開始予定日） required/必須

(Format YYYY-MM-DD):

Length of the course in hours (時間) :

Length of the course in days (日数) :

Number of expected participants (参加予定人数) :

Price of the course to the participants (参加者への料金) :

Your association official registration ※if available (協会の正式な登録証) ※可能な場合

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