PRINT-OUT THIS FORM AND SEND
Rickshaw Inn Fax No. +81-577-32-2469 |
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| Would you send us your credit card number, name of card holder and expiration date as a deposit when you receive our reply, please. We will send you confirmation in return for it. Thank you. |
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*Full Name |
Family name / First name Mr. Ms. |
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| *Period of Stay | Check-in Date: | |||||||||||||||||
| Check-out Date: | ||||||||||||||||||
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I'd like to reerve by *Int'l Credit Card: |
VISA | |||||||||||||||||
| MASTER CARD | ||||||||||||||||||
| *Card No. |
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| *Name of Card Holder | ||||||||||||||||||
| *Expiration Date | ||||||||||||||||||
| Note: This card number is used to deduct cancellation fees in case you do not show up without canceling your reservation (No-Show). The room rates will not be charged to your credit card in advance. |
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