Application

Please apply after checking the participation conditions and plans.

Please select your desired plan 《Required》	regular fee
Name《Required》
Gender《Required》	male female
Date of birth《Required》	Example:20160408
Postal code《Required》	Example:1340083
Address《Required》 ※Course information will be sent through post, so please enter your mailing address	※Example:5-42-3, Nakakasai, Edogawa-ku, Tokyo, 134-0083
Phone number《Required》
e-mail address《Required》 ※Couse information will be provided via post and e-mail. Please ensure that your e-mail settings enable you to receive mail from information@riva-art.co.jp.
Once more for confirmation《Required》
Aura-Soma lecture student ID ※Please be sure to enter it if you have one
Participation qualifications《one must be selected》 Those who intend to attend the lecture also please select "Plan to Attend Course"	--------- Crystal Master Course part1 Crystal Master Course part2 Crystal Master Course part3 Aquamarine Diamond way The Love of Crystals and Gems Aura-Soma Level1
Aforementioned lecturer name 《Required》
Name to be listed on certificate of course completion《Required》 ※Please write in Roman letters
Aforementioned completion process schedule or completion plan schedule 《Required》 ※Example:20160408
Introduced by:
Remarks If you have questions, please enter them here. Example: Want to stay in the same room with another attendee, change to recipient name for mail, etc.