Application for Group visits

Please print this page and submit the completed form to the museum by mail or fax so that it will be received in advance of your visit.
Please include your available brochures or leaflets that your group may have prepared in anticipation of this visit.

We treat personal information with great care.Please refer the following site.--> Privacy Policy

Place you plan to visit	Tokyo Azumino
Your Group Name *
Your Name & Address *	Name: Address: Tel: Fax:
Travel Agency	Name: Staff: Address: Tel: Fax:
E-Mail address *
Date and Time of Your Visit *
Number of Visitors *	Adults: Seniors(65 and older): College, Junior college or University Students: Junior High & High School Students: Elementary School Students: Children under 5: Sum:
Gallery Talk	Yes No Gallery talks are available upon request. Talks, usually conducted in Japanese, last about 10 to 15 minutes and cover the museum’s history, Chihiro Iwasaki and current exhibitions. For talks in English, please submit a request prior to your visit. Groups of fewer than 20 people are also welcome to make appointments for gallery talks (although group admission discounts will not apply).
Have You been to Chihiro Art Museum before?	No Once Twice Three Times More
What made you plan this visit to the museum?	NewsPaper Articles Asahi Yomiuri Mainichi Akahata Other Magagine TV Program Invited by Someone in the Group Recommended by a Friend Travel Agency’s Tour Other

Agree with our privacy policy. *

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