Hiroshima-Nagasaki A-bomb Exhibition
Organizer Application
Organization  
Department   Manager  
Address  
Phone   Fax  
E-mail  
 
Preferred exhibition dates (1st choice)* month / day / year (ex. Sept. 18, 2007)
from _________/_____/______ until _________/_____/______
Preferred exhibition dates (2nd choice)* from _________/_____/______ until _________/_____/______
*Please set the exhibition dates between August 6, 2007 and the end of 2008.
Would you like us to send a survivor? Please circle: Yes / No
Planned venue
(name and contact information)		  
Mailing address where materials
should be sent
(if different from the one you entered above)		  
Is there is anything else we should know about your exhibition?
Also, please refer us to any other individual, organization or city that might be willing to host this exhibition. (Name and contact information)
 
Please return by e-mail to: outreach@pcf.city.hiroshima.jp or by fax to: +81-82-247-2464