Accomodation Reservation Form


Please fill out the form bellow and mail or fax it to us.
Our fax no. is 0287(72)5927, international (81-287-72-5927).
Otherwise, write to 4-93, Teragohei, Nasu, Tochigi Prefecture, Japan.

Accommodation Reservation Form

Date of application: ______ / ______ / _____ (month) (date) (year)


A Name: __________________________________

B Address: _________________________________

C Telephon No. _____________________________

D Facsimilie No. ____________________________

E Period of Stay

Expected Check-in _____ / _____ / _____ (month) (date) (year)

Expected Check-out _____ / _____ / _____ (month) (date) (year)

F Expected Time of Arrival: at________p.m.

_________NasuShiobara sta. _________Hotel_____Nasu Intersection

G No. of Persons:_______________Person(s)

H Room Request:

�@______ single(s)______ twin(s)____double(s)

�A______ with bath______ without bath

�B______ Westernstyle hotel________Japanese inn ______ Pension

I Meals: ____with breakfast____dinner_____without____meals
J Budget per person: __________________________________

K Sightseeing areas you will be visiting:

___________________________________________________

L Signature: ________________________________________

M Additional comments: _______________________________
�@�@






As soon as we received your application, we'll confirm by return.

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