Okutama Bible Chalet > Official English Registration Form

Official English Registration Form

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Name of Church or Group *

Address *

Phone Number *

Fax Number

Name of Contact Person for this Group *

Phone Number of Contact Person (cell number preferred) *

Email Address of Contact Person *

Please repeat the Email Address of Contact Person *

Type of Program/Group (Primary) *

Please choose one that best describes your group

Dates of Usage (From Year) *

Dates of Usage (From Month) *

Dates of Usage (From Day 3pm) *

Dates of Usage (Until Year) *

Dates of Usage (Until Month) *

Dates of Usage (Until Day 2pm) *

Day Use Only (from 9 am to 8 pm)

Yes

Please check this box to confirm that this is a day use only

Est. No. of Adults ( all Jr.High and older) *

Actual # required one week before arrival

Est. No. of Elementary-aged Children *

Actual # required one week before arrival

Est. No. of 3 to 5 Year Olds *

Actual # required one week before arrival

Est. No. of under 2 Year Olds *

Actual # required one week before arrival

Desired Hall for Group Meetings *

Main Chapel (if available. Note: extra charge per person per day)

Sawai Chapel

Other

No Preference

If "Other" is checked, please add a comment here

Add Comments Regarding Desired Equipment Usage (ex. DVD or sound equipment)

Please give the name of the person making the remittance *

Necessary in order to confirm and receipt to the proper group

Housing Preference (first choice, final housing assignment will be based on availability) *

Ome House #1 (room with private bath, room charge (1500 yen) per night applies)

Ome House #2~7 ( 6 rooms with bunk beds, room charge (1000 yen)per night applies)

Sawai House (3 large carpetted rooms and 4 tatami rooms, various sizes, no room charge)

Mitake House ( 3 large carpetted rooms, no room charge)

No Preference

Rooms in Ome House may not be available, so OBC office will confirm the rooms you may use with your group before arrival. Rooms without room charge are alloted according to group size. If your group desires extra rooms in Sawai and Mitake, then there will be a room charge for those nights.

Method of Registration Fee Remittance *

Bank Transfer Risona Bank, Higashi Ome Branch, Regular Acct., Okutama Bible Chalet # 4097180 Post Office Remittance Okutama Bible Chalet 00100-7-7262 Cash Envelope Address: 〒198-0064 3-839 Yugi Machi, Ome-shi, Tokyo TEL: 0428-76-0931

Dates of Usage (From Year) *

Email Address of Contact Person *

Add Comments if neccesary

Thank you for your registration.

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Okutama Bible Chalet > Official English Registration Form

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Contact Information

Okutama Bible Chalet
http://o-bc.net

3-839 Yugimachi
Ome Shi, Tokyo 198-0064
Phone: 0428-76-0931
Fax: 0428-76-2457
Email:obc@o-bc.net