*Each month, we choose five winners from people who use this web reservation form.
Also, a free aperitif will be served for all reservation made through this page.
Reservation Form *Please make reservation prior to
4 days. For next day reservation, please call a number below. Please understand
in case of full. TEL: 03-3289-8081 *Jacket recommended *Non smoking only
* is required field.
1.
Date*
2.
Time*
:
-
3.
Party*
people
4.
Company Name/Title
5.
Name*
Mr./Ms.
6.
Home Address*
7.
Contact Information*
Home
Office
8.
TEL*
9.
FAX
10.
E-mail*
11.
Secondary Contact Information
(Please input name and phone number)
Next 2 are NOT required.
12.
Birthday
/
/
13.
Wedding Anniversary
/
/
14.
Request
(1) abour room, seat, or foods(course)
(2) about how we contact you for confirmation call