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HOPE Fuji Charity Climb Registration Form
To take part in the HOPE Mt. Fuji Charity Climb, please complete this form. We will contact you with further details.
**Note: All details are required for insurance purposes.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Age
*
Your answer
SEX
*
Choose
Male
Female
Optional T-Shirt 1,800 yen
Please choose your size
No Shirt
S
M
L
XL
Address
*
Your answer
Postal Code
*
Your answer
Email
*
Your answer
Telephone
*
Your answer
Mobile phone
*
Your answer
Are you a client of The H&R Group?
*
Choose
YES
NO
H&R Group Clients
These prices are for H&R Group clients
Individual (3000 yen)
Family (up to five persons, 8000 yen)
Regular prices
(for non H&R Group clients)
Individual (5000 yen)
Family (up to five persons, 10,000 yen)
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