Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
レンタルバイク e-bike rental 9:30AM-6:00PM
お支払いは当日、(株)あくとにてお支払いください。英語対応可能。
Please make your payment on the day at Act Co., Ltd. English assistance is available.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
名前(full name)
*
Your answer
電話番号(phone no)
Your answer
住所(Address)
Your answer
いつ(when)
*
MM
/
DD
/
YYYY
何人(How many)
Choose
1人 (One person)
2人 (Two people)
3人 (Three people)
4人 (Four people)
何時間(How long)
Choose
1時間/人 (1 hour) 550yen/pp
2時間/人 (2 hours) 1100yen/pp
3時間/人 (3 hours) 1650yen/pp
4時間/人 (4 hours) 2200yen/pp
5時間人 (5 hours) 2750yen/pp
6時間人 (6 hours) 3300yen/pp
7時間人 (7 hours) 3300yen/pp
8時間人 (8 hours) 3300yen/pp
開始時間 (Starting time)
*
Choose
9:30am
10:00am
10:30am
11:00am
11:30pm
12:00pm
12:30pm
13:00pm
13:30pm
14:00pm
14:30pm
15:00pm
15:30pm
16:00pm
16:30pm
17:00pm
営業時間内に返却 9:30‐18:00 I confirmed the return during business hours.9:30-18:00
確認しました(Confirmed.)
質問 Request or Question
Your answer
注意事項( Precautions)
日本語
English
*
確認した(Precautions)
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report