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＊If you’d like to request an escort immediately after midnight, please contact us via SNS (Line, WhatApp, WeChat) or directly call our number, +81-3-6459-3291.
Hotel Name
Address
Room #
Phone #
Name
Date
Time 6:00 p.m.～7:00 p.m.～8:00 p.m.～9:00 p.m.～10:00 p.m.～11:00 p.m.～12:00 a.m.～1:00 a.m.～2:00 a.m.～3:00 a.m.～
E-mail address
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