Liv Group
Information Request Form
Request for information
Please fill out all fields marked by an asterisk
(*)
.
Name
※
Address
※
Phone
※
Email
※
Age
years (Please use single-byte numerals, e.g. 35.)
Occupation
Company employee (non-management)
Company employee (management)
Government employee (non-management)
Government employee (management)
Company executive
Self-employed (commercial)
Physician
Attorney, tax advisor, accountant, etc.
Educator
Self-employed (other)
Not employed
Other
Annual income
Up to ¥3 million
Up to ¥5 million
Up to ¥7 million
Up to ¥9 million
Up to ¥12 million
Up to ¥15 million
Up to ¥20 million
Over ¥20 million
Preferred method of contact
※
Phone
Email
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