Reservation Form 高崎のホテルは駅5分4100円～朝食無料【高崎駅前プラザホテル】

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Reservation Form

This form is to check room availability.
Your reservation is not be completede unless you receive a reservation form acceptance email and confirmation email from the hotel.

Please complete the following reservation form. The blanks marked as * are required to submit.

▼Booking Information
Type of your room *
Check-In Date *	M/ D/
Estimated Time Of Arrival *
Check-Out Date *	M/ D/
Number of rooms *
the 1st room 　【Number of Adults】	Male/ Female/
the 2nd room 　【Number of Adults】	Male/ Female/
the 3rd room 　【Number of Adults】	Male/ Female/

▼Customer Information
Your Name *
Email Address *
Postal Code *
Address *
Phone Number *
Note

For inquiries please call us at 027-322-1011