The 13th Kyushu Convention Application Form
Zoom
Student
3000JPY

Name



Zoom Name

Use this name at the entring to the Kyushu Zoom Meeting.
We collect Zoom names for the purpose of security,
checking if we are accepting the right people.


email


State and Country



Model Show and Tell
Yes I do.
No I don't.
Undecided


Membership
JOAS member
Magazine subscriber
None


Age
0-5
6-12
13-15
16-19
20-29
30-39
40-49
50-59
60-69
70-79
80-89
90-99
100-
secret


School and Grade



Have you ever attended an origami Zoom convention before?
Yes
No


Which is your device?
PC
Tablet
Mobile phone
Other
Undecided


Do you want to join the Kyushu-Tomonokai mailing list?
Yes
No


Comment



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