Reservation Form
Communicate your desired details to our reception staff! By deciding on the items in the "Desired List" below in advance, your reservation process will go smoothly☆ By pressing the "Copy List" button below the list, you can easily copy it! Paste the copied content into LINE or email, fill in your desired details, and send it to our reception staff!
Required Item
Explanation of the format
Have you been communicating with the therapist via DM?
If you have been coordinating the schedule with the therapist via DM before making a reservation, please write "Yes". If there has been no communication, please write "No".
Date of Service
Start TimeYour desired date and time of use (same-day use is also OK)
New Customer or Member
First-time user = New customer / Second time or later = Member
Name (in Hiragana)
Your name (nickname is also OK)
Mobile Phone Number
(11 digits)To avoid communication troubles and confusion with customers of the same name
Service Area
Meeting Type
For meeting outside, you will meet with the assigned therapist and choose a hotel (the therapist will escort you to the hotel according to your preference). For hotel entry, you will enter the hotel first and wait for the assigned therapist to arrive.
*For business hotels, "meeting" near the hotel is recommended to avoid troubles such as "being charged extra" or "not having an elevator key".Detailed Location
Meeting place, hotel name and hotel address, detailed address of your home, apartment name, room number, etc.
Therapist
Enter your desired therapist (first choice, second choice)
First-time Request
or
Returning RequestFirst time with the therapist = First-time Request / Second time or later with the therapist = Returning Request
Payment Method
For cashless payments, payment will be made in advance via a dedicated link. To avoid confusion, please refrain from canceling or changing the payment method after the reservation is confirmed.
Country of Residence (Current Location)
Please enter your current country of residence.
We also accept inquiries and questions☆
"It's my first time...","I'm anxious...","I've never come before..."
Please feel free to consult us about anything!
*Same-day reservations are OK, and reservations can be made more than 10 days in advance.
(Reservations via DM are also accepted up to 10 days in advance.)
Please note that if you cancel your reservation, your next reservation will be limited to the same day only.
03-6869-1386