~ 希望プログラム・日時 ~

    * Reservations on the web will be accepted up to 2 days in advance.
    Please call us for reservations the day before (last deadline is 5 p.m.)
    (リゾートセンター 090-7513-5485)

    have to希望プログラム  / 
    have toDesired date /
    have toDesired time /

    ~ Customer Information ~

    have toRepresentative's name
    have toName of Representative (Furigana)
    have tomail address
    have toStreet address
    have tophone number
    * No hyphens. Please enter a number that can be contacted on the day of the event
    have toNumber of people 名 
    ArbitrarilyRemarks column

    Check the contents and send. (*Please check and click the send button.)