Question Title

* 1. Full Name

Question Title

* 2. Address (St. City. State. Zip)

Question Title

* 3. Phone number

Question Title

* 4. E-mail address

Question Title

* 6. Gender *option

Question Title

* 12. Where would you like to visit on your next trip to Japan?

Question Title

* 13. Your favorite column in JapanUp! magazine.

Question Title

* 14. Where do you pick up JapanUp! magazine?

Question Title

* 15. What kind of Japanese information would you like to read?

Question Title

* 16. Which SNS app do you use?

Question Title

* 17. Would you like to receive event or hot news from JapanUp! magazine?

Question Title

* 18. Any comments or requests to JapanUp! magazine

Question Title

* 22. In case you did not win any of your gift choices, do you still wish to receive gift other than your choices?

T