Reservation Form

    ■Name (nickname OK) (required)

    ■Phone (required)

    ■Email (required)

    ■Please re-enter your email to confirm.

    ■Reservation type

    Repeat requestRepeat request (already arranged with therapist)First-time requestFirst-time request (already arranged with therapist)Free (no preference)

    ■Search and select the therapist you would like to request

    ■Discount / coupon code

    ■Reservation date & time (a ¥5,000 advance-request fee applies for bookings 2+ weeks ahead) (required)


    h min

    ■Select your preferred course.

    ・Course

    ・Duration

    ■Select a second preferred course (optional).

    ・Course

    ・Duration

    ■Select a third preferred course (optional).

    ・Course

    ・Duration

    ■Location (nearest station, etc.) (required)

    ■Address (if meeting at a hotel or your home)

    ■Payment method

    Cash on the dayAdvance bank transferCredit card (prepaid; a 5% processing fee applies)

    ■Would you like SMS messages from your therapist?

    Yes pleaseEither is fineNo thank youOnly just before the appointment

    ■Requested options / requests

    ■Anything you would prefer to avoid

    ■Other / questions

    Your total comes to:

    Course fee + travel fee (home-visit fee, late-night fee, etc.) + therapist request fee.

    Thank you for confirming.

    About credit card payment ↓

    クレジット決済

    Our credit card system is fairly involved, so if you would like to pay by card, please review this page first.

     

    Book or ask a question on LINE

     

    How Your Reservation Is Confirmed

    The reservation process is as follows:

    You send us the reservation form

    Our office confirms the pricing and the therapist’s availability

    Our office emails you a reservation confirmation
    (※ Before booking, please check your spam / blocked-sender / allowed-domain settings so that email from office@mikado-tokyo.com can reach you.)

    Please reply to the confirmation email — a blank reply is perfectly fine.

    If we are unable to reach you up to 3 hours before your reservation time, we may call to confirm.