SMC RENTAL BIKE ENTRY

NAME

stay of purpose

except above 


sex        birthday    year    month day

address  (live in Japan)        


stay (hotel name & room number)  
                           
※For foreign regident in Japan: Please input "non".


phone
     For the tourist:Please input hotel phone number

office phone  

mobile phone

the length of your stay  
ex...12/10-12/20 or Dec,10th-Dec,20th
                
※For foreign regident in Japan: Please input "non".


e-mail  Please input your E-mail. We need it when reply to you.


  



※Red character are necessary