Chihiro Art Museum
Application for Group Visits
  Please print this page and submit the completed form to the museum by mail or fax so that it will be received in advance of your visit.
  Please include your available brochures or leaflets that your group may have prepared in anticipation of this visit.
Your Group Name
 
Your Name
&
Address


  Tel .                                                 Fax
Travel Agency
 
Travel Agency's Address

  Tel .                                                 Fax
Date and Time    
      of Your Visit

 
Number of Visitors Adults

 
Gender
  Male        /       Female
 
Seniors(65 and older)

 
  Total Number of Vititors
  (not including chilidren under 5)
 
 
Junior High  &
High School Students
 
Elementary School
                       Students
 
Children under 5

 
Gallery Talk *      Yes   /   No
  Have You been to Chihiro Art Museum before?

          No  /  Once  /  Twice  /  Three Times  /  More
  What made you plan this visit to the museum?

      NewsPaper Articles:  Asahi /Yomiuri /Mainichi /Akahata /Other:
      Magagine:
      TV Program:
      Invited by Someone in the Group
      Recommended by a Friend
      Travel Agency's Tour
      Other:

*  Gallery talks are available upon request. Talks, usually conducted in Japanese, last about 10 to 15 minutes and cover the museum's history, Chihiro Iwasaki and current exhibitions. For talks in English, please submit a request prior to your visit. Groups of fewer than 20 people are also welcome to make appointments for gallery talks (although group admission discounts will not apply).
Chihiro Art Museum Tokyo
4-7-2, Shimo-Shakujii, Nerima-ku, Tokyo 177-0042, Japan
tel. +81-3-3995-0612
fax +81-3-3995-0680
Chihiro Art Museum Azumino
Nisnihara, Matsukawa-mura, Kita-Azumi-gun, Nagano 399-8501, Japan
tel. +81-261-62-0772
fax +81-261-62-0774