Country Inn milky house
Reservation Application

Reservation Application Form
※Please input a necessary matter of the following item, and click the transmission button.
※I will report by E-mail or the telephone of the reply as soon as confirming the reservation application.
It is when refusing according to the type of the room. Please acknowledge it beforehand.
Please confirm it by the telephone when it is disconnected even if two has passed since it transmitted.
Name
E-Mail address
E-Mail address
(Confirmation)
※Please input it for the confirmation.
Check-in Date /  /  
Day's Days
Number of GuestsMan   Woman    Child    Infant 
Total  Persons
Age of child
Food allergy
Number of Rooms Rooms
Visit transportation
Check-in Time
(example)About afternoon and about 17:30, etc.
Address〒
Mobile-PhoneNo
※I hope in the number portable etc. that can be contacted on that day.
Special Request他
Please push 'Transmission' button when filling in ends.