銀座ブラックハート

銀座のフェティッシュバー・ブラックハート

東京都中央区銀座６-３-１６泰明ビル本館地下2階

ＴＥＬ：０３－５５６８－７７１４

Event

Kinbaku Class Application Form

Name (Pseudonyms are acceptable) *
E-mail Address*
Mobile Phone Number*
Age
Have you visited us before?
Have you attended workshops or training sessions at other places?
If applicable, please feel free to provide the shop name or relevant details:
Gender
Please feel free to write down any questions or concerns you may have.
*Required Field
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