ICC School Information Inquiries Form

Please fill out the form below. We will get in touch with you shortly.

 Full name
 Gender   Male
 Date of birth
 Zip code
 Telephone number
 Mobile phone number
 Office telephone number
 E-mail address
 How did you know about ICC? Internet ⇒  Google  Yahoo! Japan  Other search engine
 Facebook  NHK textbooks   Other magazines
 From friends  Building sign  Posters  Others 
 Purpose of study
 Desired language/course
 Desired school branch   Ginza School
  Shinjuku School
  Shibuya School
  Machida School
  Hachioji School
  Yokohama School
  Lessons on students'/clients' premises
 Would you like us to send you our school brochure?   Yes
 For further details please inquire here

Please check the above information
carefully and press [Confirm] .