Reservation Form

Please input all items of the orange.

Name

Please input representative's name.
age(representative)

Please select the age of the representative.
Telephone - -
Please input telephone number.
Cell phone - -
Please input cell phone number.
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Please input your adress.
Date of Check In / DD / MM YYYY
It is possible to reserve it one year from today ahead.
Room Type

Please select the kind of the room.
Number of each person
Adult man

Adult woman

Child(With bedding+The same meal as adult,70% of adult charge)

Child(With bedding+Child meal,50% of adult charge)

Child(Lying+Child meal,2500yen)

Child(Lying+No meal,500yen)

Please input number of each person.
Room Type(second room)
*Please input it if you use second room.

Please select the kind of the room.
Number of each person
Adult man

Adult woman

Child(With bedding+The same meal as adult,70% of adult charge)

Child(With bedding+Child meal,50% of adult charge)

Child(Lying+Child meal,2500yen)

Child(Lying+No meal,500yen)

Please input number of each person.
Arrival Time

Please select arrival time.
Traffic Access

Please select traffic access.
E-mail

Please input your e-mail.
E-mail(Reconfirmation)

Please input your e-mail again.
Demand

Please input in the demand and the allergy of food.

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