Branch
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Please select the branch.
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Number of people
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Please select the number of people.
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Menu/Course
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Please select the menu/course.
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Time
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Please select the time.
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Visit Date
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Please select the visit date.
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Visit Time
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Please select the visit time.
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First name Surname
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Please enter your name.
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Furigana
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Please enter the furigana (phonetic spelling).
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Phone Number
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Please enter your phone number.
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Email Address
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Please enter your email address.
※ If you use free email (Yahoo, Hotmail, etc.), the reply email may be treated as spam.
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Email Address (Confirm)
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Please re-enter your email address.
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Requests/Comments
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