Thank you for your patience while we review your application.
We will be in contact to confirm your eligibility for press credentials.

1. Personal Information

Title *
Name *
First Name:
Middle Initial:
Last Name:
Nationality *
Date of Birth *
Date:
Month:
Year:
Do You Already Have a Valid Visa to Enter Japan? *

2. Organization Information

Organization *
Type of Media *
Position *
E-mail *
E-mail (Confirm) *

3. Other Information

Facial Photo (for Press ID Badge) *
Media ID Card/Press Card *
Visit Duration in Karuizawa *

4. Use of Broadcast Van

Any schedule for the use of broadcast van *
License Plate Number *
Place name of registration
Classification Number
Kana text
License plate number
Preferred date to book the parking lot for Broadcast Van *