Gotemba Kogen Resort

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PLEASE FILL OUT THE FORM BELOW AND CLICK SUBMIT TO SEND

※ Indicates required fields. Please write in English.

YOUR CONTACT INFORMATION
Name
Home Phone
Mobile Phone
Fax Number (if need confirmation by fax)
Email Address
Where do you live
RESERVATION INFORMATION
Date of Stay Year Month Day ~
Year Month Day
Day Night
Number of People
Payment Method
Cash    Credit Card
Comments, questions or special requests
Let us know if you have any specific questions or special requirements or requests.
Bennett J. Galloway International Sales & Marketing Director. 090-8475-4512