| Client information |
| Name * |
|
| Gender * |
Male
Female
|
| Date of Birth * |
/
/
ex. (dd/mm/yyyy) |
| Contract Type * |
Corporate
Individual
|
| Corporate Name |
|
| Person in charge |
|
| Telephone |
-
-
|
| Facsimile |
-
-
|
| Mobile |
-
-
|
| E-mail * |
|
| Preferable P.O.C |
Phone
Mobile
Email
Others
|
| Requested condition |
| Condition of Room Type |
Furnished serviced Apartment
Unfurnished Apartment
|
| Move-in date |
/
/
ex. (dd/mm/yyyy) |
| Move-out date |
/
/
ex. (dd/mm/yyyy) |
| Room Type |
Studio /
1BR
|
| Budget |
JPY
-
JPY |
| Size |
m2
-
m2 |
| Guest Number |
Adult: /
Child:
(Age:
Age:
)
|
| Purpose of visit |
Business (Business trip,Transfer,Training )
Changing house
Office use
Reconstruction of own house
Sightseeing
Others
|
| How did you know Central Crib Roppongi? |
Pamphlet
Newspaper
Searched by web
CCR HP
Enplus HP
Referred from HR
Referred from friend
Others
|
| Other requests |
|
| * Please call Front desk 03-3568-2104 (+81-3-3568-2104) Enplus Inc. 03-3511-8051 (+81-3-3511-8051) |
