date	2008 year 1 2 3 4 5 6 7 8 9 10 11 12 month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 day for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 more day(s) room style without bed with bed private room
How many?	male 0 1 2 3 4 5 6 7 8 9 10 11 person(s)　 female 0 1 2 3 4 5 6 7 8 9 10 11 person(s) amount 1 2 3 4 5 6 7 8 9 10 11 12 person(s)	check in	about 10:00~13:00 about 10:00~13:00 about 16:00~19:00 about 19:00~23:00 after 23:00 no idea
your name		nationality
address
phone	home mobile
E-mail		E-mail(reconfirm）
notes