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Hello! JCFN wants to give you our full support as you go back to Japan! We would love to provide various support in order for you to live as a Christian (or continue to get to know about Jesus) in Japan, so please fill out the survey below and send it back to us.

1.Name
2.Return Date(yyyy/mm/dd)
3.Current Address
Zip
State/Pref.
City
Street Address
Building/Suite No.
4.E-mail
5. Address after returning to Japan (if undecided, please provide your family’s home address)
6. What is your plan once you go back? (please check applicable box)
Where do you plan to work?
7. Have you decided which church you will be attending once you go back?
8. Are you interested in small group Bible study?
9. Are you a JCFN member?