伊豆ヨガリトリート申し込み Izu Yoga Retreat Sign-up Form

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名前 Name *

E-mail *

参加の動機 Your hopes for the retreat *

食べられないもの Allergy/food restrictions *

私が知っておいた方が良い体調や心の調子について Anything I should know about your physical and mental condition

部屋の希望 Room Preference *

２人部屋 2 person room

ルームメイトの希望があれば教えてください Do you have a roommate preference?

支払い金額の種類 I will pay... *

7月末までの早割Early Bird payment before end of July :¥33,000

7月末までの早割+２回目以降参加割 Early Bird + 2nd~ retreat discount :¥32,000

８月以降通常料金 Regular payment after August1st: ¥37,000

Required

支払い方法 Method of payment *

クレジットカード決済リンク（申し込み受付後お送りします）Online payment link (will be sent out after you register)

銀行振込：横浜銀行 Bank transfer Yokohama Bank

銀行振込：UFJ銀行 Bank transfer UFJ

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