Request form for Self-isolation facility information service
Our concierge will offer potential rooms when details are confirmed!
Sign in to Google to save your progress. Learn more
Name *
e-mail address *
Estimated move-in date *
MM
/
DD
/
YYYY
Estimated move-out date *
MM
/
DD
/
YYYY
Area (Tokyo, Osaka, Naha, Sapporo etc)
Approximate price for rent per night
No. of residents *
Telephone phone number
Required floor plan *
Your Country
Which Airport you will arrive at *
Do you need to look for another room to stay in after the quarantine *
If necessary, we will introduce you another room that meets your requirement.
How did you find our service
Clear selection
Please give us the name of person who introduced our service if applicable
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of matsuri technologies株式会社. Report Abuse
Google Forms