Shomyoji Temple Guide Application Form

  1. Fill in the blanks and push "Send" button after confirming your application.
  2. Use ASCII Character.
  3. Personal informations are used only for this site.
First Name
Last Name
Postal Code (Exp. 123-4567)
Phone Number (Exp. 045-678-9012)
Mobile Number (Exp. 090-123-4567)
FAX Number (not necessary) (Exp. 045-678-9012)
E-Mail Address
Schedule Proposal  Year  Month  Day  Week

Starting Time:  AM PM Hour Minute
Ending Time:    AM PM Hour Minute
Numbers of Attendants Male  Female  Total
Meeting Time AM PM Hour Minute
Meeting Place Front of Shomyoji Red Gate
Gate of Keikyu Kanazawabunko Station