秋の味覚を楽しむ会(会員限定)Social Gathering (Members Only)
会員番号が同じご家族のみご一緒にお申込みいただけます。(家族会員にて登録されている家族のみ申込可)
お一人様 RM85 税込, 幼稚園児以下無料(先着100名様)
Should you wish to attend as a family, only those with the same membership number may apply.
Participation Fee: RM85 (Inc. tax) per person Free for kindergarten children or younger. (Limited to first 100 applicants)
KL日本人会会員番号(半角英数)Membership number *
例:A-1111
Your answer
お名前 Name *
例:日本 太郎
Your answer
年齢 Age *
Your answer
当日の連絡先 携帯番号(半角英数)HP No. *
例:012-333-3333
Your answer
メールアドレス(半角英数) Email *
Your answer
幼稚園児を含む合計参加人数 Total number of participants include kindergarten children. *
幼稚園児以下の参加人数 Number of kindergarten children or younger.
同伴者①(ご家族のみ)Family Member's Name 1
Your answer
同伴者①年齢
Your answer
同伴者②(ご家族のみ)Family Member's Name 2
Your answer
同伴者②年齢
Your answer
同伴者③(ご家族のみ)Family Member's Name 3
Your answer
同伴者③年齢
Your answer
同伴者④(ご家族のみ)Family Member's Name 4
Your answer
同伴者④年齢
Your answer
同伴者⑤(ご家族のみ)Family Member's Name 5
Your answer
同伴者⑤年齢
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service