ご予約 – 美容鍼灸・美容鍼の銀座ハリッチ | 東洋医学治療と美容鍼灸でいつも最高のあなたへ
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美容鍼灸・医療レーザーのハリッチ

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Appointment Form

Customers in a hurry can request an appointment using LINE@.

Select requested course

Course
Requested date and time 1st choice
Requested date and time 2nd choice
Requested date and time 3rd choice
Requested salon
Visit to salon
Background to inquiry
Request for specific practitioner

*When specifying a practitioner, we collect a separate fee of ¥500 or more (including specification of a male or female acupuncture/moxibustion practitioner).

*Charge to specify Director: ¥5000

*If you selected "Other," please enter information in the Notes field.

Contact method

*The salon will contact you by telephone (03-5524-0589) regarding the information received in the request. Please specify a convenient time range.

*Please select "E-mail" if you request a reply by e-mail.

*If you selected "Other," please enter information in the Notes field.

Cancellation standby conditions

We accept cancellation standby when we are unable to meet your request. Please provide information so that we can contact you if an opening appears.

*If you selected "Other," please enter information in the Notes field.

Notes

Customer information

Gender
Name
E-mail address
Telephone/mobile phone number
Questions/consultation for salon

Customers in a hurry can request an appointment using LINE@.