Japanese Online Lesson application form

※Please fill in all the necessary information and press the 「送信する」（send)  button at the end.

商品名 価格（税込）
1, One-on-one lesson 50-minute
3,500円
2, One-on-one lesson 25-minute
2,000円
商品合計 円
お支払い方法
合計 円（税込）

Payment

1≪Paypal≫

2 《Transfer Bank account》
  Bank name: Japan Net Bank
  Branch name: Suzume (Branch number: 002)
  Account type: Ordinary deposit
  Account number: 8551155
  Account name: Ace Cosmopolitan Enterprise Co., Ltd.

* Please use the "applicant's name" when making the transfer.

Please enter your information

「必須」 is a required field

Your Name
※Name of person participating in the lesson
Your Nickname
※Enter a nickname in English that is easy for the instructor to call you.
Where you live
※Enter the region and country you live in
   ex) Hanoi, Vietnam
Mail adress
※Enter your contact e-mail address
    ↑　Confirmation email address
Purpose of learning Japanese
※Please write in English or Japanese, as it can be simple.

Contact：info@ace-ltd.jp

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