RESERVATION REQUEST FORM
Date of Check In
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
Month
2022
2023
Year
Date of Check Out
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
Month
2022
2023
Year
Type of Room
E Type
(
Twin Room
)+
twin beds
+
kotatu
(Capacity
2 person )
C Type
(
Superior Room
)+
futon
+
kotatu
(Capacity
3 person )
D Type
(
Deluxe Room
)+
futon
+
kotatu
(Capacity
4
〜
5 person )
Number of
Adults
2
3
4
5
6
7
8
9
Number of
Infants
0
1
2
3
Accommodation charges are the same as Adults and Infants.
Infants can only stay D type room.
Number of Rooms
1
2
3
Number of Nights
1
2
3
Check In schedule time
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
Payment
Please
make your payment by cash (Japanese currncy "yen" ) when you arrive at the hotel.
Mr.
Mrs.
Miss.
Name
Nationality
E-mail
For confirmation once again
Message
Miyajima Hotel new Kotobuki
