Jiyugaoka "house of cake" smile photo contest application form
  1. Please send matter more necessary than the following forms after input (required all items).
  2. Sorry for your inconvenience, but I would like entry of 1 form because of one point of photograph.
  3. Posted image is related to this event published on homepage
    We may use in the media (Jiyugaoka wall newspaper, Jiyugaoka newspaper and others).
    In addition, we may use in notices in the next fiscal year.
Name
Furigana
Nickname for publication
E-Mail address
E-Mail address
(you are for confirmation, and please do not copy and paste)
Comment
Attached file

About the handling of personal information
  1. We use personal information (except three items of image, nickname, comment) that had you fill out to drink for correspondence to inquiry and communication, confirmation.
  2. Posted image is published in homepage. In addition, we are related to this event We use in the media (Jiyugaoka wall newspaper, Jiyugaoka newspaper and others) and may use in notices in the next fiscal year.
  3. We may leave record of inquiry for the purpose mentioned above.