言語/Language *日本語（日本語が分かり、日本の携帯電話回線が使用できる方）
English (Those who do not have a Japanese mobile phone number)
お客様名/Name *

*Please enter the name of your passport.

メールアドレス/Email Address *

*Namwa will communicate with you via this email.
Communication is not possible with apps such as what's UP.

電話番号('-'不要)/TEL(number only) *

*Overseas visiters do not need a phone number.

タイプ/Type *個室/Private Room *
出張/Out Call *
日時/Date *

e.g.) 21 JUN 18:00-21:00start
希望スタッフ1/1st Preferred Staff
コース/Course

*The staff gives a naked massage.
*Some services may not be available depending on the staff.
オプション/Option

*Some services may not be available depending on the staff.
希望スタッフ2/2nd Preferred Staff
希望スタッフ3/3rd Preferred Staff
優先順位/Priority希望スタッフ優先/Staff
希望日時優先/Date
希望個室優先/Room
お客様備考/Customer Note
Terms of serviceI confirm that I have read, understood and accept following terms.
Namwa introduction
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