Reception for Mitsuyo Miura
Date: Monday, October 13, from 6 p.m. to 8:30 p.m.
Doors open at 5:30 p.m.
Location: Greater Philadelphia Chamber of Commerce
200 South Broad Street, Suite 700
Philadelphia, PA 19102
Free Admission

►  Please take a moment to fill out the registration form below to reserve your seats due to a limited number of seats.  If you would need multiple seats, please simply choose the number below.  In return, we will forward an e-mail confirmation to you. 

Your Name：     

Organization：    

E-mail：          

Phone：          

How many people are there in your group? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 More 　

　 ★If you need more than 15 seats, please specify the number:
　　　　　　       　seats　

Please feel free to write to us!

★ If you do not have an e-mail, please call us to reserve your
    tickets.
    Philadelphia Japanese Film Association
    Phone: 215-701-6349 (Attn: Akiko Takamura)