Reservation Form

Name:

Occupation:

Age:

Nationality:

Visitor's hotel in Japan (name):

Home Address:

E-mail address:

A course B course C course

1st: - Select Month - January February March April May June July August September October November December Day: Year:

2nd: - Select Month - January February March April May June July August September October November December Day: Year:

3rd: - Select Month - January February March April May June July August September October November December Day: Year:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Do you (your group) have any food allergies or is anyone a vegetarian ?:
Yes No

Yes → Please describe in details.