Reservation Form ~Relaxen~
「*」或は【必須】とついたものは必須項目です
Preferred Menu
*
Preferred Day
*
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2022
2023
年
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1
2
3
4
5
6
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8
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10
11
12
月
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1
2
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31
日
Preferred Starting Time
*
10:30〜
14:00〜
Need baby sitting?
*
Yes, at Tsukishima salon (2,500yen / 90min, 3,500yen / 120min, 4,500yen / 180min ※for 2 kids, plus 300 yen)
Yes, at my apartment / house (3,000yen / 90min, 5,000yen / 120min, 7,000yen / 180min ※same whether it's 1 or 2 children)
No
Name
*
姓:
名:
Family Name / Last Name
Postal Code
-
Address
Fill this if you'd like me to come your apartment/house.
Mobile Phone Number
*
Question / Comment
↓When everything is filled, click the left side button
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システム提供： ふぉーむまん