Fukuoka Hotel Massage Booking Form (the care)

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Please fill in this form to request a massage.

We will arrange your booking based on your request.
No chat is required.

If needed, we may contact you.

Name *

Preferred contact method
(Please be ready to contact us after booking.) *

Phone / WhatsApp Number
(Include country code, e.g. +1, +82)

Telegram Username (optional)

Hotel Name *

Room Number
( If unknown, please update later )

Date *

YYYY

Preferred Time
(e.g. 22:00) *

Course duration *

60 min (9000Yen)

90 min (13000Yen)

120 min (15000Yen)

150 min (19000Yen)

180 min (23000Yen)

Massage Type

Leave it to the therapist (Recommended)

Deep Tissue

Oil Massage

Relaxation

Clear selection

Payment Method *

Cash ( Yen )

Credit Card

Either

Notes / Requests

Submit

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