About Restaurant Reservation Contact

Name*	(e.g. John Smith)
Post code*
Address*	(e.g. Sapporo, Hokkaido , Chuo-ku, Minami 10 Jo Nishi 6 -chome, 1-21)
Tel*
E-mail*	(e.g. info-nakajimapark@kenhotels.com　 *"hotmail" is NOT acceptable)
Restaurant*	Japanese and Western Teppanyaki 21CLUBJapanese food WANOHASSOUANBistro La Provance
Date ／ People	／
Budget	¥
Contact	E-mailTelephone
Content*	(e.g. Please contact me by e-mail after the mailing.)