Reservation Form

Contact Person Name*

Contact person's e-mail address*

Reservation space*

Harajuku 1fHarajuku 2fHarajuku 3fHarajuku BfKitasandoEbisu 1f/BfEbisu 2fEbisu 3fEbisu 4fNakameguro
※When reserving multiple floors on the same date, please check all reserved spaces.

Starting Date of Use / Entry Time*

—以下から選択してください—9101112131415161718192021 : —以下から選択してください—0030
※As a general rule, use is limited to the hours of 10:00-19:30. For use outside of these hours, please be sure to consult with us in advance.

End date of use/leaving time*

—以下から選択してください—9101112131415161718192021 : —以下から選択してください—0030
※As a general rule, use is limited to the hours of 10:00-19:30. For use outside of these hours, please be sure to consult with us in advance.

Purpose of use*

Subscriber Classification*

—以下から選択してください—CorporationPersonal

Personal ID

For personal contracts, please upload your ID(ex: Passport)
※File format: jpg,heic,png,pdf File size: max 5MB

Subscriber Name*

For corporate contracts, please include the name of the corporation.

Subscriber Address*

ex）1500001 ※Hyphen-free,Abroad 0000000

—以下から選択してください—AbroadHokkaidoAomoriIwateMiyagiAkitaYamagataFukushimaIbarakiTochigiGunmaSaitamaChibaTokyoKanagawaNiigataToyamaIshikawaFukuiYamanashiNaganoGifuShizuokaAichiMieShigaKyotoOsakaHyogoNaraWakayamaTottoriShimaneOkayamaHiroshimaYamaguchiTokushimaKagawaEhimeKouchiFukuokaSagaNagasakiKumamotoOitaMiyazakiKagoshimaOkinawa

※Please write down the name of the building and even the floor number.

Subscriber Phone Number*

Approving Authority Name*

Name of the person approving the contract

Approval Authority Email Address*

Payment Method*

—以下から選択してください—Bank transfersCredit Cards
※We accept only VISA, MasterCard. In the case of credit card payment at our company, the full amount must be paid at the time of reservation.

Name of person in charge at the site*

Name of person who will be on site during the period of use

Emergency Contact*

Cell phone number of the person who will be on site during the period of use

Instagram Account

We will follow and announce event information on our Instagram.

Notes

※Please indicate if there is anything you would like to tell the person in charge in advance.

Privacy policy*

I agree to your privacy policy.
* You need to agree to our privacy policy, when using this form.
Please mark □before submitting.

Confirmation information will not be sent.
We will contact you as soon as possible after checking the content.
We apologize for the inconvenience,
but if you do not hear back from us within 3 business days, please contact us by phone.

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