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Seeds Reservation Form
Choose the menu and fill in the following forms to make a reservation.
Select menu to reserve.
(Possible to choose more than one)
required
Aroma oil Body Treatments & Head Massage 90min. (¥15,000)
Aroma oil Body Treatments & Head Massage 120min. (¥18,000)
Head Massage & Foot Reflexology 60min. (¥12,000)
Head Massage & Foot Reflexology 75min. (¥14,000)
Aroma oil Body Treatments & Facial Care & Head Massage 120min.(¥18,000)
Aroma oil Body Treatments & Facial Care & Head Massage 150min.(¥22,000)
First choice of date and time
required
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date
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month
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hour
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minutes
Second choice of date and time
required
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date
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month
year
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hour
00
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minutes
How many people?
required
One person
Two people
Three people
Mr. or Ms.
required
Mr.
Ms.
Name
required
First Name
Family Name
E-mail address
required
For confirmation
Phone number
-
-
Message, questions or requests.
Check the privacy policy agreement.
required
I agree.
privacy policy
confirm
このフォームは
Formzu
で作成しました。