I would like to register accommodation for hotel, after reading accommodation policy.

Registration Infomation

Name  Mandatory	Given name   Family name
Affiliation
Sex	Mr.     Ms.

Address

Please select Mandatory   Home   Office

Zip code Mandatory	�iSample�F1234567�j
Adress Mandatory
Telephone number	�iSample�F0000000000�j
Fax number	�iSample�F0000000000�j
e-mail Mandatory

Accommodation

Date for stay  Mandatory
Nov. 29   Nov. 30    Dec. 1   Dec. 2   Dec. 3   Dec. 4   Dec. 5
Hotel  Mandatory
Yokohama Grand Intercontinental Hotel	Twin (single use) Twin   Triple
Pan Pacific Hotel Yokohama	Twin�isingle use�j Twin    Triple
Yokohama Royal Park Hotel	Double (single use) Twin   Triple
Yokohama Sakuragi-cho Washington Hotel	Single   Twin
Navios Yokohama	Single   Twin
Number of people for stay  Mandatory
One
Two(Name of accompanied)
Three(Name of accompanied)
Accessibility requirement
accompany with guide dog
accompany with partner dog
visually impaired
hearing impaired
Use wheel chair    Electric   Hand
If you have any requests,please write down.

  Total   *525 yen is added to the registration fees above as a registration handling fee.

Method for Payment

Please select Mandatory
   Credit Card

Please fill information if you select credit card.

We accept Visa   Master   JCB   Amex   Diners

Card number

Card number    Year Month

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