Member's Form

his is a contact form exclusively for members.
For online classroom application, local training application, other contact information, please contact us using the form below.

* For regular inquiries, please contact us from "CONTACT".

CONTACT

STEP.1
Application
contact

STEP.2
Auto reply
email

STEP.3
Staff
email

STEP.4
Attendance
on the day


Your nameRequired

 

Company name / organization name
(in the case of corporation / business / organization, etc.)

 

Contact phone numberRequired

 

E-mailRequired
※Please be sure to set the permission in advance in your security setting so you can receive email from "jiriki@js-y.jp" to avoid the confirmation email sent to junk mail.

 

Please select your requirementsRequired

※Please select a lesson subject from the above.

 

If you are taking an online class, please select your desired course

※Please select a lesson subject from the above.

 

Payment method
(when applying for either online classroom or local training)

※We will send you an e-mail with information on payment methods and attendance methods according to your wishes. / ※Available cards：Visa/Mastercard/Amex/JCB/Diners Club/Discover

 

About regular billing
(if you want automatic renewal of online classrooms)

※You can use automatic renewal payment by credit card.

 

Others
(various contact information / inquiries)

 

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Member registration and various applications