Application for EXPERIENCE FORM Musubibito Program

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  2. Apply for the Musubibito Program

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 you make an inquiry, the personal information of the customer will be handled in accordance with the Privacy Policy.

Name of desired facility *
Grand Mercure Wakayama Minabe Resort & Spa
Preferred Program *
Accommodation reservation number *
Your name (full-width) *
Furigana (full-width) *
Phone number *

※Please enter in half-width alphanumeric characters without hyphens

Phone type
E-mail address *

※Please enter with half-width alphanumeric symbols

E-mail address (for confirmation) *

※Please enter with half-width alphanumeric symbols

Number of Activity Participants *
Remarks column ※Up to 500 characters

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

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