Q-Bang! Free Pachinko Experience Application Form

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yin *

Gender *

Male

Female

Prefer not to say

Age *

Participants must be at least 20 years old in accordance with Japanese regulations.

Contact Information (Email / SNS) *

Preferred Date *

※ Excluding weekends and public holidays.
※ If you would like to schedule a trial session on a weekend or public holiday, please indicate this in the "Additional Comments" section.

YYYY

Preferred Time Slot

The experience is available from 10:00 to 18:00 Japan Standard Time (JST).
The experience lasts approximately 30 minutes.

Number of Participants *

Agreement & Confirmation *

I confirm that all participants are at least 20 years old

I agree to follow staff instructions during the experience

Required

Additional Comments

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