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Customer Registration

Please fill in the following form to register for the KASHIWAYA RYOKAN.
There is no annual fee. Please be sure to read the Terms & Service before registering.

Your E-Mail Address and a Password are needed to make changes to your account information/reservation.
Please take a note of your Password.

*Required fields.

E-Mail Address *
Retype E-Mail Address
Password *	Retype Password To confirm your Password, please enter in both spaces. ※ Password shall be at least 7 characters in length, containing both alphabetical and numeric characters.

Name *	First Name Last Name
Gender*	Male Female
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Home Address*	Address Zip Code - Country Select Country Australia Belgium Brazil Britain Canada China France Germany Guam Hong Kong India Italy Japan Mexico Netherlands Northern Mariana Islands Philippines Portugal Russia Singapore South Korea Spain Taiwan Thailand United States Other
Contact Phone Number *	- -
Cellular Phone Number	- -

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I have read and accept the Terms & Service.  

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