RESERVATION FORM

    Please enter the required information in the fields below and press the send button.(Please be sure to fill in the fields marked with *)
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    Your reservation will be confirmed by this reply.
    Please note that your reservation is not confirmed once you submit the form.

    * required field

    ■Your Name *

    ■Nationality *

    ■Mail address *

    ■Please enter again for confirmation *

    ■Phone Number

    ■Hotel Name

    ■Room Number

    ■Request Day *

    ■Request Time *

    :

    ■Request Course *

    ■Request Option *

    ■Your Favorite Girl

    Japanese *

    English *

    ■Additional Message