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Application Form

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Make an Application	Guided Factory Tour 2025.4.22 13:30
Number of People	Adults Children Infants

Choosing an Experience & Our Survey You may choose one experience (optional) to go with your tour. If some of your party will not pariticpate in the experience, please let us know in the "Message" field at the end of this form. We may also ask you to complete a short survey after your tour. Thank you for your cooperation.

体験コース {Tour Course}(※)	友禅コース（お一人様 3,000円） {Yuzen Course / ¥3000 per person} 絞りコース（お一人様 3,000円） {Shibori Course / ¥3000 per person} オール見学コース（お一人様 5,000円） {Full Course / ¥5000 per person}
体験オプション {Experience Option}	絞り染め体験（お一人様 5,000円） {Shibori Dyeing / ¥5000 per person} 摺り友禅体験（お一人様 5,000円） {Suri-yuzen Dyeing / ¥5000 per person} 体験オプションなし {none}
年代 {Age}(※)	10代 {10-19} 20代 {20-29} 30代 {30-39} 40代 {40-49} 50代 {50-59} 60代 {60-69} それ以上 {70+}
お申し込みのきっかけ {How did you find out about us?}(※)	ご友人の紹介 {Introduction from a friend} 青柳のサイトをみて {From the Aoyagi website} 観光案内所からの紹介 {From a tourist information center} 着物を購入して {After purchasing a kimono} その他 {Other}

Contact Details Fields marked by ※ are required.

Name(※)	Last Name First Name
Gender	Male Female
E-Mail(※)
E-mail (Confirmation)
Postal Code(※)
Address(※)
Telephone(※)
Corporate name

Need to let us know something?

Message

[Notes]
Please make sure that payment is avairable only by Japanese yen.
We are sorry but we don't have English tours. We appreciate your understanding.