Pre-registration for use of Kurosaki Civic Gallery This is a pre-application form for the use of Kurosaki Civic Gallery. Before applying,Facility rentalPlease 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 visitPlease contact us by phone at 093-882-7777 if your application period has expired. If the application period has passed, please call us at 093-882-7777. -->. About the Exhibition Exhibition name, etc. (tentative)indispensable Contents (type of work, etc.)indispensable Exhibition room to be usedindispensable Exhibition Room 1 (2 sections) Exhibition Room 2 (1 section) Exhibition rooms can be used in sections.Please select Exhibition Room 2 for one lot, Exhibition Room 1 for two lots, or both Exhibition Rooms 1 and 2 for three lots. Waiting room to be usedindispensable Waiting room 1 Waiting room 2 Desired time First Choiceindispensable Second Choiceindispensable third choiceindispensable Fourth Choiceindispensable Customer Information Organizer's name (organization, etc.)indispensable Name of Representativeindispensable Co-sponsorship, etc.indispensable ant nashi (Pyrus pyrifolia, esp. var. culta) Kitakyushu City Board of Education Kitakyushu Municipal Museum of Art Other Applicant Information 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"] postal code [mwform_zip name="info_zip" id="info_zip"] address (e.g. of house)
