Inquiries & Reservations (Fax Form)Fax: (81)-11-822-6635

1	Name of guest	(e.g. John Smith)
2	Your Address	(e.g. 55-55,55th street,Long Island City,NY 11106 U.S.A.)
3	Date of arrival	(e.g. June 17th,　2005)
4	Date of departure	(e.g. June 17th,　2005)
5	Number of nights to stay	(e.g. 2 nights)
6	Number of guests	(e.g. 1 couple and 2 children under 6 years old)
7	Number of rooms you need	(e.g. one room)
8	Choose one	(e.g. B&B 5,500yen/person　w/Supper 6,800yen/person)
9	Your Fax number	(e.g. +1-718-555-5555)
10	Remarks	(e.g. don't eat pork)
11	Your Mail Address	(e.g. abcd@aol.com)

Pension Setsurin 4−21、8-Jo 2-Chome, Misono Toyohira-ku, Sapporo, Hokkaido 062-0008 Japan