* After checking it beforehand about the use condition different every course, please apply.
The item with ★ is required item.
mobile phone number
preferred visit date★
arrival time at Seibu-Chichibu Station★
Chichibu city and sake Course AChichibu city and sake Course BShrine with mystical energy and miso-making classWeeping cherry trees and roadside rest areaPoppies and roadside rest areasMt. Ryokami Foothill Flower Village Dahlia Garden and shopping for local specialtiesIcicles and strawberry picking Course AIcicles and strawberry picking Course B* After checking it beforehand about the use condition different every course, please apply.
nuimber of people★
* The customer's personal information you sent more than this form will use only a contact with a customer.