| Name | (indispensable) |
| E-mail address | (indispensable) |
| ZIP | |
| Address | (indispensable) |
| Telephone number | (indispensable) |
| FAX number | |
| Check-in Date | Daymonth (indispensable) |
| Check-Out date | Daymonth (indispensable) |
| Total Stay nights | Daymonth 〜NightDay (indispensable) |
| how many persons ? | MaleFemaleChild (below a schoolchild)(indispensable)
(When there is not a child, choose [0]) |
| Plan name | example "Plan with one-day ticket Plan" etc. |
Note
| |