Reservation Form

For reservations by phone 0949-52-6795


*If you are unable to submit using this form, please make a reservation by phone.

Required Name

First name

Last name

Required Gender

Required Mail address

RequiredZip code

RequiredCountry

RequiredAddress

Address(Address or hotel address)example)666-2 Otono Miyawaka City

RequiredDate of birth

year month day

RequiredPhone number

RequiredDesired date and time of reservation
(first choice)

*Closed all day every Tuesday and lunch on Wednesdays.

AnyDesired date and time of reservation
(second choice)

*Closed all day every Tuesday and lunch on Wednesdays.

RequiredReservation time

RequiredCharge

RequiredNumber of meals

RequiredWhat is your intention for this use?

AnyHow many times have you visited the store?

RequiredPlease let us know allergic ingredients as accurately as possible.

Depending on the content, we may not be able to accept reservations.

AnyRemarks column

If you are an introducer or have any other requests, please fill in.

RequiredAbout consent

(Click here for terms of use)

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