Hotel Miyajima

[ Registration Form ]

Please attend to the , fill out the reservation form, and send it to our hotel. So we will confirm your reservation within two days.
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Plan to stay from

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  Day   January February March April May June July August September October November December  Month   2024 2025  Year  

Total

1 2 3 4 5  nights

Time of Check in

16:00 17:00 18:00 19:00 20:00 21:00

Number of people

Adults	Male: ------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20     Female: ------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
	Adult Total
Children	Age(10-12): ------ 1 2 3 4 5 6 7 8 9 10
	Age(7-9): ------ 1 2 3 4 5 6 7 8 9 10 10
	Age(3-6): ------ 1 2 3 4 5 6 7 8 9 10
	2yrs and under: ------ 1 2 3 4 5 6 7 8 9 10
	Child Total

Number of Rooms

1 2 3 4 5

Room Type

 Single type A (non-smoking room)
 Single type A (smoking-room)
 Single type B (non-smoking room)
 Single type B (smoking-room)
 Twin type A (non-smoking room)
 Twin type A (smoking-room)
 Twin type B (smoking-room only)
 Japanese-style room (non-smoking room)
 Japanese-style room (smoking-room)

Service of Dinner

 1650 yen Dinner
 Nothing

Service od Breakfast

 Japanese-style
 Western-style
 Nothing

Transportation

 Car
 Bus
 Bicycle
 Walk

Your Full Name

Address

Address (Country)

TEL

E-mail

*If you do not receive our e-mail of confirmation, please look for junk mail box.

Credit Card Type

Visa MasterCard American Express Diners Club JCB
 

Credit Card Number

Expiration Date(MM/YY)

Special Requests
(room style, dish, etc)

 

• Cancellation Fee...No show-100%, Day of-100%, 1 day prior-50%, 2 days prior-30%, 3 days prior-30%
• Please pay hotel charges at check-out.
• Please call hotel if arriving later than scheduled check-in time.