Kohitsuji Spring Break English Lessons Kohitsuji Spring Break English Lessons Registration form Parent Name *Parent Email *Student NameStudent AgeParent Questions?Number of Days you wish to attend *1 day - { 4000JPY }2 days - { 7000JPY }All three days - { 10000JPY }What days would you like your child to attend? *April 2ndApril 3rdApril 4thPricing for attending 1 day : 4,000 JPYPricing for attending 2 days : 7,000 JPYPricing for attending 3 days : 10,000 JPYPreferred Payment OptionPay Here Using the Credit CardPay Using Domestic Bank Transfer (To Mizuho Bank)Proceed payments with Credit / Debit Card *Bank Details:振込口座みずほ銀行（0001）吉祥寺支店（246）普通（Savings Account)1566599ｶﾓﾝｱｳﾄ(ｶ Note: Please enter Full Student Name on Bank Transfer DetailsRegisterPlease do not fill in this field.
