APPLICATION FORM

Please copy with this form and fill in it, then send to us by e-mail.
 

when the room available, we would mail or call you.
 

If you have any questions, please feel free to contact us at any time.  

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Please send e-mail to: guesthouse_chofu_tokyo@yahoo.co.jp

1. NAME :

2. COUNTRY :

3. MALE OR FEMALE :

4. AGE:

5. VISA TYPE :

6. PERIOD OF STAY    FROM :                  UNTIL:                  

7. Occupation :

8. MAIL ADDRESS:

9. TELEPHONE :

10.Are you a Smoker?(Yes/No/Sometimes)

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