Mailing list update form

Please help us update our contact list!

We're trying to update our list of people interested in the Bath - Tsugaru exchange program and related activities. We occasionally need to publicize events or ask for assistance. This information will only be available to administrators of the group to be used for group business. We won't sell you information to spammers - we promise. The more information you can give us, the better our list will be.

Domo Arigato!

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Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Have you hosted a Japanese student, and if so, in what year(s)?

Hosted?

Have you or a family member travelled to japan, and if so, in what year(s)?

Travelled?

What is your Address?

Street Address 1

Street Address 2

City/Town:

State

Zip Code

What is your Phone Number?

Phone

Message:

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