Booking Form

Full Name*

Email Address*

Please make sure that your email address has been typed correctly.

Age*

You must be at least 20 years old to book.

When would you like to meet?*

Please suggest a specific date and time you’d like to meet. You may also suggest different dates and times that work for you.

Where should I meet you?*

If you would like to visit a love hotel together, I recommend meeting in either Shinjuku, Ikebukuro, or Shibuya. You can either suggest a love hotel yourself or ask me to recommend one. I can also come to your regular hotel. If you'd like to meet at a cafe, restaurant, or other public location first, that's fine as well. Please note that I do NOT visit Airbnbs, private residences, hostels, or rooms where other guests are also staying.

How many hours would you like to book?*

How would you like to pay?*

Please note that a non-refundable deposit of 5,000 JPY or 50 USD is required to secure your booking. This deposit will be deducted from the total amount, and the remaining amount must be paid in cash when we meet in person. Please see Deposits, Cancellations, and Rescheduling for more information.

Where did you find my website/ad?*

Your self-introduction message*

By submitting this booking request, you acknowledge that you have read and understood the Deposits, Cancellations, and Rescheduling policies and agree to be bound by them.

Booking Form

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