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【English】"The Pier | Goto Nagasaki" Move-in application form

For Japanese（日本語はこちら）→ https://tally.so/r/wMDqLp

About application

・Please agree to the following terms and conditions before applying.
→“Colive Goto” Terms and Conditions Concerning Move-in Application
・Please check the following check box if you agree to the above basic terms and the content of the attached sheet and move in.

Have you checked the "Colive Goto Terms and Conditions for Moving In Application"?

Have you checked the "Colive Goto Terms and Conditions for Moving In Application"?
A

Fill in the application form

Name

E-mail address

phone number

emergency contact

Occupation, what you usually do

Brief self introduction

Reason for wanting to move in

Expected period of stay

(If you haven't decided yet, a rough date is fine.)

Other discounted items

Other discounted items

About payee

Financial institution name

Branch name

Account type

account number

Account holder

Thank you for your input

Please check that there are no mistakes in the information you have entered before sending.
Untitled multiple choice field
A