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看護師の好条件な求人情報満載:年間50000人の看護師が転職に利用！
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Reservation
Fill in following items and send mail to HASUWA Inn.
Name:
Mail address:
Request for reservation
Check-In Date:
Check-Out Date:
Arrival Time:
Num. of Per.:
Num. of Child(ren):
Num. of Room(s)：
Food Preference：
Turtle(Speciality)
Chicken
Beef
Personal Information
First Name:
Family Name :
Passport Num. :
Gender:
Male
Female
Birth Day:
Occupation:
Phone (Home)：
Phone (GSM):
Phone (Work1):
Phone (Work2):
FAX No.：
Zip / Postal Code：
City：
Country：
Address:
Additional Informations and/or Comments:
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