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Japanese Trial Lesson Proposal
*Essential
*
Full Name
*
Email Address
*
Your Gender
male
@
female
*
Your Age
*
Your Country
(Example) United States
*
Your City
(Example) New York
*
Your Language
*
Your Japanese Level
No
little
Some
Fluent
Your Skype Name
You have to get it later.
Email Address for Skype
Please input it correctly.
Email Address for your PayPal Account
You have to get it later.
*
Your Interest
(Example) travel, food, business, movie, sports, music, politics economy, history
*
Your Purpose
(Example) business, hobby, travel
Message/Question
*
What date is it now there ?
(Example) Jan-1
*
What time is it now there ?
Please input just before you submit this proposal. @@@@@ (Example) 22:00
@@
Please push " M"(submit) button if it's OK.
You can reset by pushing "Zbg"(reset) button.
Please confirm the contents well before you submit.
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