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 
 
  
Fill the numbers on the right side. 
 
							
		
	 |