Inquiries about lecture and interview.
Please fill out the form below and submit it.
We will respond within about 7 business days after submission.
Currently, we have received many requests, so it may take some time to respond.
If there is no reply from us after 7 business days, please contact us at the e-mail address below.
(MOTHERHOUSE PR department :
media@mother-house.jp
)
Place of lecture
Place of your request
MOTHERHOUSE flagship store
MOTHERHOUSE Yokohama Bay Quarter store
MOTHERHOUSE Osaka store
Not lecture inquiries
The host organization name
e.g.：MOTHERHOUSE
Your answer
Agency name *If different host organization.
Your answer
Name of the contact person
Your answer
Contact Person's email address
Your answer
Media and use
Lecture
Magazine Interview
TV broadcasting
Radio
other
The speakers, interviewee
Eriko Yamaguchi
Daisuke Yamazaki
other
Preferred date *first choice
MM
/
DD
/
YYYY
Preferred date *second choice
MM
/
DD
/
YYYY
Preferred date *third choice
MM
/
DD
/
YYYY
Purpose of lecture, interview
Your answer
Theme of lecture, interview
Your answer
Place of lecture
*Please enter if our staff visit and do lecture meetings.
Your answer
Number of audience
*Please enter if you ask lecture.
Your answer
Target age, position, gender
e.g.：thirties, for manager, men
Your answer
Lecture fee
*Only as a guideline, Eriko Yamaguchi : $3,500~ Daisuke Yamazaki : $900~. Prices are subject to negotiation.
Your answer
Other information
Your answer
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