Request Your Session(施術のご予約)
Please fill out the information below to book a session!
We will contact your via Email as soon as possible.
*We accept Cash or Bank transfer via payment request. Thank you!

施術のご予約には、以下に情報をご入力してください。
折り返し、メールにてご連絡させていただきます。
*お支払いは、現金または銀行振込でお願いします。ありがとうございます!
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Name(お名前) *
Email(メールアドレス) *
Phone number(電話番号)
Choose Service(ご希望のサービスについて)
*
Preferred date (1st choice)(第一希望の日付) *
MM
/
DD
/
YYYY
Preferred time (1st choice)(第一希望のお時間)
*
Time
:
Preferred date (2nd choice)(第二希望の日付)
*
MM
/
DD
/
YYYY
Preferred time (2nd choice)(第二希望のお時間)
*
Time
:
Comments(備考)
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