MILD Live in Tokyo 2016
Advance Ticket Registration
*** due date is by 9/11(Sun)
Full Name *
Your answer
Mobile phone *
Your answer
Email address *
Your answer
Number of tickets *
To get this promotion
You need to make the payment by direct bank transfer within one week after registration.
Promotion is limited and it is applicable on first come first serve basis.

Payment : JP Bank
account no. 43757501 ・ branch no. 018
account name. マノピ二ウエス ワピー (Organizer/ Mild guitarist's sister)
** Please send a copy of transaction record to us by email.

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service