Summer Holiday Intensive Course Application Form

This is a discount for regular cars (AT/MT).
This is an intensive course that anyone can apply for, not just students.
Example price: Regular car AT ¥288,100 (tax included)
*Please note that internet discounts are not available.
This is a provisional application. Formal enrollment requires prior procedures.
Please come to the office to complete the application process as soon as possible.

Required Name
Required Name (Katakana)
Required Email Address
Required Email Address (Confirmation)
Required Postal Code
Required Prefecture (Auto-filled)
Required City/Town (Auto-filled)
Address (Optional)
Required Phone Number	Please be sure to enter a phone number where you can be reached, as we may need to call you.
Required Age
Required Desired Vehicle Type	Motorcycle applications are currently suspended.
RequiredDesired Enrollment Ceremony Date	(Due to limited capacity, please apply as soon as possible as we may not be able to accommodate your request.)
Free shuttle service for enrollment procedures	(Please note that this is not a free shuttle service after enrollment) NoYes
Desired Shuttle Date	(Please let us know if you have a planned date)
If you have any questions or requests, please enter them here. (Optional)

*You can use the free shuttle service not only for commuting after enrollment, but also for enrollment procedures before enrollment. If you wish to use this service, please check “Yes” in the free shuttle service section. If you wish to use the free shuttle service, please apply at least 3 business days before your desired pick-up date.
The person in charge will contact you by phone.
*Please note that free shuttle service may not be available if we cannot reach you by phone in advance.

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