[ 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

: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 room
 Deluxe Twin room Type A
 Deluxe Twin room Type B
 Standard Twin room Type A
 Standard Twin room Type B
 Double room
 Family room (4 beds)

Service of Dinner

 Nothing
 3000 yen Western-style Dinner
 3500 yen Western-style Dinner
 4500 yen Western-style Dinner
 2000 yen Japanese-style Dinner
 3800 yen Japanese-style Dinner
 5000 yen Japanese-style Dinner

Service of Breakfast

 Nothing
 1800 yen breakfast

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.

Special Requests
(room style, dish, etc)