APPLICATION FORM
Sanro
Please fill in all of the required fields (marked with
*
).
Please enter in normal characters on a Western-style computer.
Full Name
*
(in the order of given name, middle name, family name)
Nationality
*
Languages
*
Occupation
*
Age
*
Sex
*
M
F
Home address
*
City
*
State
*
Country
*
ZIP Code
*
Country code
*
Phone number or mobile number
*
Fax number (if applicable)
** For phone numbers, please include your country code.
Email address
*
Confirm email address
*
Address and phone number in Japan before coming to Eiheiji (if applicable).
Address
Phone number
Fax number
Affiliation to Soto Zen organization or place of practice
Motive for staying at Eiheiji
*
Desired date to stay
1st choice
*
2nd choice
*
□□ NOTE □□
A new hotel " Hakujukan" is open in front of Eiheiji as a part of Zen village Project. If you stay at the Hotel, you may attain some of Eiheiji’s activities.
Please see
the Hakujukan website
for the details:
** We do
not accept
any case of applications as below.
・
Sanro request within one month from today.
・
Applications without specified date.
・
A stay more than 2 nights.
** Please specify an alternate date in case your first choice is not available.
** If your schedule changes, please notify us as soon as possible.
Number of people to stay
*
Total
Male
Female
Monk
Nun
Number of rooms you request
*
Please select
1 room
2 rooms
3 rooms or more
** Please understand that depending on the number of vacant rooms available, we may not be able to fulfill your request.
** If you make a reservation for more than ten people, please send a member list to Eiheiji by postal mail or Fax (0776-63-3631). It must include the number of applicants, and each applicant’s full name, age, sex and allergies (if any).
List of people to stay
1. Full name
Age
Please select
Male
Female
Monk
Nun
2. Full name
Age
Please select
Male
Female
Monk
Nun
3. Full name
Age
Please select
Male
Female
Monk
Nun
4. Full name
Age
Please select
Male
Female
Monk
Nun
5. Full name
Age
Please select
Male
Female
Monk
Nun
Click here if you are a group of 6 or more people.
6. Full name
Age
Please select
Male
Female
Monk
Nun
7. Full name
Age
Please select
Male
Female
Monk
Nun
8. Full name
Age
Please select
Male
Female
Monk
Nun
9. Full name
Age
Please select
Male
Female
Monk
Nun
10. Full name
Age
Please select
Male
Female
Monk
Nun
11. Full name
Age
Please select
Male
Female
Monk
Nun
12. Full name
Age
Please select
Male
Female
Monk
Nun
13. Full name
Age
Please select
Male
Female
Monk
Nun
14. Full name
Age
Please select
Male
Female
Monk
Nun
15. Full name
Age
Please select
Male
Female
Monk
Nun
16. Full name
Age
Please select
Male
Female
Monk
Nun
17. Full name
Age
Please select
Male
Female
Monk
Nun
18. Full name
Age
Please select
Male
Female
Monk
Nun
19. Full name
Age
Please select
Male
Female
Monk
Nun
20. Full name
Age
Please select
Male
Female
Monk
Nun
21. Full name
Age
Please select
Male
Female
Monk
Nun
22. Full name
Age
Please select
Male
Female
Monk
Nun
23. Full name
Age
Please select
Male
Female
Monk
Nun
24. Full name
Age
Please select
Male
Female
Monk
Nun
25. Full name
Age
Please select
Male
Female
Monk
Nun
26. Full name
Age
Please select
Male
Female
Monk
Nun
27. Full name
Age
Please select
Male
Female
Monk
Nun
28. Full name
Age
Please select
Male
Female
Monk
Nun
29. Full name
Age
Please select
Male
Female
Monk
Nun
30. Full name
Age
Please select
Male
Female
Monk
Nun
Expected arrival time
*
Please select
14:00
14:30
15:00
** Participants must arrive between 14:00 and 15:00.
If you have any food allergies, please specify
Please add our address to Safe Senders List.
Mail sent from EIHEIJI may be identified as spam. A reply mail will be automatically sent after submitting the application. In case that you do not receive it, please add our e-mail address to Safe Senders List and submit again.
no_reply(AT)daihonzan-eiheiji(DOT)com
** Please replace the words, (AT) and (DOT), to the correct symbols, “@“ and “.”.
