Youtei Sanroku "Haru" Bento reservation form

Name:

Please make sure to provide both first name and family name

Name:

Please make sure to provide both first name and family name

Collection date:

Please select the collection date

*Bento can be collected at Villa LUPICIA

*Dates cannot be selected are scheduled holidays or already closed for reservation.

Collection time:

Please select collection time

*Your order may be cancelled if not collected within 60 min from the selected time.

Quantity:

Please select quantity

*For orders over 20 pcs, please contact the restaurant(TEL 080-5000-5558)

E-mail:

Contact number:

Contact address:

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