PiOPARK Event Application Form

PiO PARK Terms of Use

Please fill in the required fields and press the confirm button.
Fields marked with * are required.

Date of Application ＊
  • 年
  • 月
  • 日
（YYYY/MM/DD）
【Applicant Information】Organization Name ＊

【Applicant Information】Representative Name ＊

【Application Information】Address（Including zip code） ＊

【Applicant Information】 Telephone Number (Representative) ＊
  • -
  • -
【Applicant Information】Name(Person in charge) ＊

【Applicant Information】Department name(Person in charge)

【Applicant Information】 Telephone Number(Person in charge) ＊
  • -
  • -
【Applicant Information】　e-mail(Person in charge) ＊

（確認用）

(for confirmation)
user ＊
event name ＊

Do you charge an admission fee or other fees? ＊
Do you sell any goods? ＊
Attachment (Event Proposal) Please attach any event proposals.Click the button on the right to select a file.

visitors ＊
visitors(other) If you selected "Other" above, please enter the information.

Please select any time-limited services you would like to offer to event users. Free no matter how many you choose! Take advantage of this opportunity! *Any of these can be introduced to the organizer separately, not within the event. *As for the time, it can be arranged according to your request.
Please fill in the details of your request (e.g., desired content, time frame, etc.) for the items you have already checked abov

May I publish information about the event? ＊ If you choose "Yes," event information may be published on the HANEDA x PiO website. Even if you choose "No," we will disclose the availability of events and seminars for other users.
May I take a photo or video? ＊ If you choose "Yes," the information may be published on the HANEDA x PiO website and in public relations media of the Ota City Industrial Promotion Organization.
Special Notes on Vehicles Enter "heavy-duty vehicle" or similar if you plan to use a vehicle.

Date of use ① ＊
  • 年
  • 月
  • 日
（YYYY/MM/DD）
Start time ① ＊
  • 時
  • 分
（hh/mm）
End time ① ＊
  • 時
  • 分
（hh/mm）
Event space ① ＊
Purpose of Use/Overview ① ＊ Less than 64 full-width characters

Number of visitors (planned) ①
(planned)
Date of use ② Please enter any additional dates of use.
  • 年
  • 月
  • 日
（YYYY/MM/DD）
Start time ②
  • 時
  • 分
（hh/mm）
End time ②
  • 時
  • 分
（hh/mm）
Event space ②
Purpose of Use/Overview ② Less than 64 full-width characters

Number of visitors (planned) ②
(planned)
Date of use ③ Please enter any additional dates of use.
  • 年
  • 月
  • 日
（YYYY/MM/DD）
Start time ③
  • 時
  • 分
（hh/mm）
End time ③
  • 時
  • 分
（hh/mm）
Event space ③
Purpose of Use/Overview ③ Less than 64 full-width characters

Number of visitors (planned) ③
(planned)
Confirmation ＊ PiO PARK Terms of Use
Remarks (availability of refreshments, other special notes, etc.)

The information registered on this site will be protected via encrypted transmission (SSL) and will be managed securely by "Spiral", a database-management ASP service provided by PIPED BITS Co.,Ltd.,which is certified by JIPDEC Privacy Mark, ISO27001/JIS Q 27001, ISO 27017, ISO 20000-1, ISO 9001 and etc standards.
------- Handling of Personal Information -------
Ota City Industrial Promotion Organization (hereinafter referred to as "Organization") will use the personal information submitted at the time of application to communicate with the user and to the extent necessary for the Organization's business and the operation of PiO PARK. In addition, the Organization will not use users' personal information for any other purpose than to provide information on related activities. However, personal information may be shared with Ota city for the purpose of operating and managing this facility.