Reservation

Should you have any questions or should you want to reserve an accommodation, please fill-in the following form and send it back to us.
We will reply to you as soon as possible.

First Name *  Taro
Middle Name  Taro
Last Name *  Sato
E-mail *  -----@-----.com
Confirm your e-mail *
Phone Number *  +81-3-1234-5678
Nationality *
Purpose of your visit *
‎Gender *
Are you under 20 years old? *
(If you are under 20 years old, we require your guarantor's consent.)
Occupation *
Choose your room * Fujimidai 1 
Fujimidai 2 
Shin-egota 
Length of your stay *
Number of people Living *
Date
Your Inquiry