After printing this coupon, fill it out and bring it to SpaWorld. Do not cut off any portion of the coupon.

	This coupon cannot be used after the expiration date.
	To receive the discount, this coupon must be printed out. Guests who access the ticket using a cellular telephone without printing it out will not receive the discount.
	Up to 10 guests may use this ticket at one time.

Expiration Date March 31, 2012

After filling out the questionnaire, please present it to the clerks at the front desk.

Name	Sex       Male   Female
Date of Birth
Home Country
E-mail Address
How did you find out about SpaWorld? *More than one answer possible Internet   Magazine   Newspaper   Book    Television Heard from Friend / Acquaintance    Other ( )
In particular, which SpaWorld facilities are you interested in? *More than one answer possible Bath / Onsen   Pool   Sports Gym    Esthetic Salon / Relaxation Hotel    Other ( )

Thank you for your cooperation.

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