Appointment Form
  1. With a appointment form, input following information and send it.
  2. You can make a appointment on the day or in advance.
  3. To send appointment from your smartphone, please select domain name in to the safe senders list.
  4. Please make sure the junk mail filter.
1.Use count First  Repeat
2.Name ※Required
3.E-mail ※Required
4.Phone Number ※Required
5.Country ※Required
6.Mistress ※Required
7.Course ※Required
8.Reservation date(1st option) : ※Required
9.Reservation date(2nd option) : ※Required
10.Message / Requests
11.How did you find this site? acquaintance/friend
Serach engine