Culture Japan Night (Singapore) Nov 12th 2012

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Name / お名前 *

email / メール *

Very important - make sure input correctly as this is how we will contact you of any changes

Website/Blog/Facebook / ブログなど

Twitter username / Twitterユーザー名

Brining your daughter? / 娘連れてくる？

dannychoo.com username (if any)/ユーザー名(あれば)

Notes / その他何でも

How many people are you bringing including yourself ? /何人お連れ？ *

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