【Registration form】JAZU HARLEM CONCERT AND CONVERSATION


    Please read our privacy policy and understand that the personal information included in your inquiry will be handled with care in accordance with this policy.

    Registration Form

    JAZU HARLEM CONCERT AND CONVERSATION

    • Date: Monday, 28th July, 2025, 6:30-8:30 p.m. (including reception)

    • Venue: Iwasaki Koyata Memorial Hall

    • Player: Marshall McDonald Quartet

    • Moderetor: Lolita Jackson(Vice Chair of the National Jazz Museum in Harlem Board of Trustees)

    • Language: English(without interpretation)

    • Audience: I-House members and member of related orgainizations.
      *related organizations:US-Japan Foundation, Japan society

    • Admission: 5,000 yen/person
      * Registration required, drinks and light meal will be provided
      *members may be accompanied by a guests.

    * mandatory

    Your name (First name, Family name)*(e.g. Hanako Kokusai)

    Affiliation

    E-Mail*
    - If free e-mail services such as Gmail are used, our e-mail may go into your spam-mail folder.

    Daytime contact number* (e.g. 03-3470-9115)
    - We will contact you by phone in case of emergency.

    category*

    Remarks

    Companions Information 

    Important Reminders

    There will be video and photo shooting at the event, and these images will be posted on the I-House website and other media.
    If you do not wish to appear in the images, please be careful not to appear in the video or photos.
    We would appreciate your kind understanding and cooperation.




    This website uses reCAPTCHA, a free security service provided by Google, to protect our contact forms from spam and abuse. If you are experiencing technical difficulties, please contact us by phone.