Mizuki Spa & Fitness
Inquiry and Reservation Form
Kindly fill in the required information and press the send button.
Name
*
First Name
*
Male or Female
----- Please select -----
Male
Female
E-mail Address
*
(Please enter again for verification)
Phone Type
----- Please select -----
Home
Work
Mobile
Phone Number
*Please note that we may contact you for confirmation.
-
-
Previous Visits
Yes
No
Desired Date of Visit
*
Year
Month
Date
Desired Time of Visit
*
Hour
Minutes
Desired Menu
*
Number of Guests
*
----- Please select -----
1 person
2 people
3 people
4 people
5 people
Pair Bookings
----- Please select -----
Same Treatment Room
Separate Treatment Room
Preferred Therapist(s)
*Should you wish to choose a therapist, please fill in the comment box below.
Yes
No
Accommodation on the Day
*Please enter the name of the representative and the date of reservation in the comment box below.
Yes
No
Comments
For guests with allergies, currently undergoing medications, or expecting a baby, please consult with your physician and inform us in advance of reservation. Mizuki Spa & Fitness offers treatments for expecting mothers as well.
Future e-DMs
*
Yes
No
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