BOOKING APPLICATION FORM

Please fill out the form and click on "submit".

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Title:	Mr Mrs Miss Ms AmbassadorDr Professor Sir Other
*First Name:
*Last Name:
Postal Code:
Postal Address:
Telephone Number:
Country :	(Japan)
FAX Number:
*Arrival Date:	(dd/mm/yy)
*Total Night(s):	night(s)
*Number of Guest(s):	person(s)
*Total Room(s):	room(s)
Budget:	JPY per person, per night
Room Preference:
*E-Mail:

NOTES(e.g. dietary restriction):

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