experience-form

Thank you very much for applying for our Musubibito program.
For reservations about the program, please fill out the form below and submit it.
Once the input has been completed, press the [Confirm input contents] button.
Please note that it may take some time to reply. Thank you for your understanding.

・* is a mandatory item. Please contact us by phone if you have a reservation or urgent inquiry.
・Your input will be encrypted and sent.
・When making an inquiry, the personal information of the customer will be handled in accordance with the Privacy Policy.

Name of desired facility *: Grand Mercure Awaji Island Resort & Spa
Preferred Program *
Accommodation reservation number *
Name (Full-width) *
Furigana (full-width) *
Phone number *: ※No hyphen, please enter in half-width alphanumeric characters
Type of telephone: Home Mobile phones Location of work
E-mail address *: ※Please enter with half-width alphanumeric symbol
E-mail address (for confirmation) *: ※Please enter with half-width alphanumeric symbol
Number of Activity Participants *: Adults Children Co-sleeping
Remarks column ※Up to 500 characters

If you agree with our handling of personal information, please check the "Agree" button.

I agree with the handling of personal information

LANGUAGE

Application for EXPERIENCE FORM Musubibito Program