Click here for the Home Page Norikura, Azumi, Matsumoto Naganoken 390-1512 Japan Phone: +81(0263)93-2261 Fax : +81(0263)93-2262 E-mail: info@mizushiro.net

Room Reservation

1)-----------------------------------------------
Full name:
Mailing address:
Nationality:
E-mail:
Phone Number:

2)-----------------------------------------------
Arrival Date:
Departure Date:
Total nights in room:
Transportation: Car or Train & bus

3)-----------------------------------------------
Number of Adults:
Number of Children(Ages):
Room Type Desired: Western room or Japanese-style room
Prior Destination:
Next Destination:

4)-----------------------------------------------
Type of Credit Card to Guarantee Room:
Credit Card Number:
Expiration Date:

* If you wish to send your credit card info by tel or fax, call: +81 0263 93 2261, by mail: to the above address.
* We are not going to charge any deposit in advance.
* We hope you don't have to cancel, but if it happens: the first night's fee is charged if you cancel within 7 days of your arrival date.

5)-----------------------------------------------
Please inform us if you smoke cigarettes.
Meals desired: Dinner & Breakfast

6)-----------------------------------------------
Additional Comments:

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