main buildingThis is the group tour application form for Before applying,About Group VisitsPlease check the following carefully.If you do not hear from us after submitting your request, please contact us.Applications are accepted at,Up to 1 week before your scheduled visitThe application period is from April 1, 2012 to March 31, 2013. If the application period has passed, please call us at 093-882-7777. Date and time of your visit Dateindispensable entry time (e.g. to a library, museum, etc.)indispensable closing time (library, museum, etc.)indispensable Customer Information Name of organization (e.g., school)indispensable Name of representative (e.g., school principal)indispensable postal code [mwform_zip name="info_zip" id="info_zip"] address (e.g. of house) Applicant Information Name of applicant (travel agency, etc.) Name of person in chargeindispensable E-mailindispensable phoneindispensable [mwform_tel name="info_tel" id="info_tel" conv_half_alphanumeric="false"] FAX [mwform_tel name="info_fax" id="info_fax" conv_half_alphanumeric="false"] Terms of Use the number of peopleindispensable adult -ian (e.g. Italian, etc.) (attaches to name of country) High school and college student -ian (e.g. Italian, etc.) (attaches to name of country) Elementary and middle school students -ian (e.g. Italian, etc.) (attaches to name of country) infant -ian (e.g. Italian, etc.) (attaches to name of country) leader -ian (e.g. Italian, etc.) (attaches to name of country) Other -ian (e.g. Italian, etc.) (attaches to name of country) total amount -ian (e.g. Italian, etc.) (attaches to name of country) Purpose of visitindispensable general school Field trips, social tours, school excursions Art Appreciation Class Classes (excluding art appreciation classes) Club activities, seminars, etc. Other Exhibitions to visitindispensable Collection Exhibition (Honkan 3rd floor only) Special Exhibition (Honkan 1F) Other Means of transportationindispensable charter bus automobile Public transportation, walking, etc. Preliminary inspection and meetingindispensable Phone only coming to an embassy, theatre, library, etc. Desired time to come to the museum first choice second choice third choice Application for Reduction or ExemptionApplication for Reduction or ExemptionPlease check the following carefully. Whether or not to apply for exemptionindispensable No application for exemption With application for reduction or exemption Reason for Application Elementary, junior high, and special-needs schools in Kitakyushu City (as part of the school curriculum) Leaders at kindergartens and nursery schools (preschools) in Kitakyushu City Holders of Kitakyushu citizens' certificates (health insurance card, etc.) aged 65 and over Holder of Rehabilitation Certificate Holders of physical disability certificate Holders of the Mental Disability Health and Welfare Handbook Subjects of lifelong learning programs sponsored by Kitakyushu City Other Details of the reason for application
