Application for Use

Application form for rental space

（Monty Dickson Hall, Meeting Room, Workshop Room, Tatami Room, Lecture Room）

  • * denotes required entries. The form cannot be sent without completing these parts.
  • Information for the items with the mark # may be open to the public on the website of Rikuzentakata Global Campus.
  • For multiple reservations, please use the Multiple Reservation Form, and send it with this form by email or fax.
  • Please contact to the reception when you should make changes to the reservation.
▼Applicant Name #*
▼Applicant's Organization Name #*
▼Contact information: E-mail address*
▼Contact information: Phone number*
▼Supporting Member Information*（What is a Supporting Member?）
▼Rental Space Purpose(or Event Title) #*
▼Date/s of use #*
（～ ）
▼Timings #*
〜
▼Programs Date

(Date/s of Event or Program
Please fill in if the date/s of event or program is a part of the "Date/s of use".)

（～ ）
▼Program Timings
〜
▼Room/s and/or Facilities #*(multiple selections possible)
▼Facility you want to use（Buildings other than Global Campus ・Multiple choices）
▼Device/s (multiple selections possible)
▼Number of Participants (approx.) #*
▼Car Parking #*
▼Open to Public? #*
▼Providing information to the media (notification to press club)
▼Message for Introducing the Event to Public
▼Additional Requests
▼Poster/Flyer of the Event(jpg/png/pdf, up to 10MB)
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[Reference] See below for accommodations in Rikuzentakata city.

・「高田旅ナビ」（陸前高田市観光物産協会公式サイト）

Reception (Office)

Rikuzentakata Global Campus Reception
Phone: +81-192-47-3901
Fax: +81-192-53-1901
Address: 13-10, Aza Kanda, Yonesaki-cho, Rikuzentakata, Iwate
Hours for reservations and inquiries:  9:00 – 17:00（Only on days when the superintendent is present）
Mail: contact@rtgc.jp