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

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.

1. Your Group Name

2. Your Name & Address

Name
Adress
Tel Fax

3. Travel Agency

Name
Adress
Tel Fax

4. Date and Time of Your Visit

5. Number of Visitors

Adults
Seniors(65 and older)
Junior High & High School Students
Elementary School Students
Children under 5

Gender

Total Number of Vititors (not including chilidren under 5)

6. Gallery Talk

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).

7. Have You been to Chihiro Art Museum before?

       

8. What made you plan this visit to the museum?

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