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Event Title 2020年JM四国新年会 in徳島
Event Date March 7, 2020 (Asia/Tokyo)
Closing Date February 29, 2020 (Asia/Tokyo)
Location Tokushima
Name*
Address
  • Country*   City   ZIP
MENSA ID* Number   Expiration (MM/DD/YYYY)
Profile page on MI
Date of birth    
Profession
TEL
Gender*
e-mail*
facebook page
Arrival time
at Japan (JST)
  • Date* (MM/DD/YYYY)  Time
  • Airport   FLT No.
Departure time
at Japan (JST)
  • Date* (MM/DD/YYYY)  Time
  • Airport   FLT No.
Visiting Cities
  • Date (MM/DD/YYYY)  City
  • Date (MM/DD/YYYY)  City
  • Date (MM/DD/YYYY)  City
  • Date (MM/DD/YYYY)  City
  • Date (MM/DD/YYYY)  City
other city
Event
  • etc
Language
  • etc
Info
Message*
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