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In Concert! 3
Let’s Dance!!
A musical benefit for the
Nishimachi Outreach Scholarship Program
RESERVATION FORM
Please reserve ticket(s) for me @ ¥6,000 each
Please fill out names of those attending.
1. 5. 2. 6. 3. 7. 4. 8. Contact Name: Cell phone: Email: Total payment ¥ I will pay cash
I will make a bank transfer no later than Thursday, March 5, 2015.
Bank transfer information:
Bank of Tokyo-Mitsubishi UFJ
Hiroo Branch
Ordinary account #0724066
Nishimachi International School
銀行振り込み：
三菱東京UFJ銀行
広尾支店
普通預金　0724066
ガク)ニシマチインターナショナルスクール
I cannot attend, but would like to support this event with this amount ¥ I will donate cash
I will donate by bank transfer
Please return this form by fax, email or to the In Concert! 3 box by the Front Office.
Attn: Development Office
Nishimachi International School
2-14-7 Moto Azabu
Minato-ku, Tokyo 106-0046
Tel: 03-3451-2167 Fax: 03-3451-7551
[email protected]
Sorry, no ticket sales at the door.
Please tear here
In Concert! 3
Let’s Dance!!
Saturday, March 14, 2015, 6:00 - 9:30 p.m.
Thank you for signing up and for your support!
Contact Name:
¥6,000 x
Tickets = ¥