Request form for Self-isolation facility information service
Our concierge will offer potential rooms when details are confirmed!
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Self-isolation facility information service
Please fill in your personal details to assist us in finding the most suitable property. (Properties are selected based on the information you provided. * For any unsure questions, we would appreciate if you leave blank)
Name *
e-mail address *
Estimated move-in date *
MM
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DD
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YYYY
Estimated move-out date *
MM
/
DD
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YYYY
Area (Tokyo, Osaka, Naha, Sapporo etc)
Approximate price for rent per night
No. of residents *
Required
Telephone phone number *
Required floor plan *
Required
Your Country
Which Airport you will arrive? *
How did you find our service?
Clear selection
Please give us the name of person who introduced our service if applicable
Submit
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