Please fill out the reservation form in accordance with Club Reika's standards.
Fields marked with an asterisk (*) are required.
Customer's Name*
Phone Number*
Email Address*
Email Address(for confirmation) *
Preferred Companion
First Choice*
-No nomination-
Second choice
Third choice
Reservation Date and Time*
123456789101112 month 12345678910111213141516171819202122232425262728293031days 101112131415161718192021222324123 hour 00153045 min
Course*
70minutes90minutes120minutes150minutes180minutes
Meeting Location*
HOTELHOME
Hotel Name
Address
Payment Method*
Cash in Japanese YenCredit Card
If there is anything else noteworthy, please feel free to write it down here.