入力内容保存/読込

Reservation and inquiry form

*We will send a reply email to the email address you entered. The reply email may be judged as spam and sorted into the "spam folder." Depending on the type and settings of your security software, it may be rejected or deleted. Please check the settings of the security software you are using.

━ Notes ━
■We do not send emails on weekends and holidays. Please note that emails received from Friday night to Sunday and holidays will be sent on the next business day.

■If you are in a hurry, please contact the store directly.

■Your reservation will not be confirmed just by sending a tentative reservation email. When making an email reservation, your reservation will be officially confirmed after we receive your (reservation number).
■Your reservation will be confirmed after payment is confirmed.

■Please make reservations by email with at least three days' margin. If you have less than three days' margin, please make your reservation by phone.

■If you do not receive a reply after three days or more, please contact us again by email or call a Teeth Art store directly.

■Please make your reservation during the store's business hours. As a general rule, Teeth Art will not provide personal information entered by customers to other companies or other third parties without the consent of the individual, except as required by law. Personal information entered will not be used for any purpose other than the intended purpose.
Your name Required必須
E-mail address Required必須

確認用
telephone number
 -  - 
Age if a minor
number of TEETHART visit
Desired menu
Desired number
Please select the office you want
Preferred date and time(1st choice)
 month  day  time 
Preferred date and time (2nd choice)
 month  day  time 
Preferred date and time(3rd choice)
 month  day  time 
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