This booking form is for at the Hairshop TANAKA in SAPPORO.
When would you like to have a hair done?
☆1st choice Which Month? SeptemberOctoberNovemberDecemberJanuaryFebruaryMarchAprilMayJuneJulyAugust Which date? 12345678910111213141516171819202122232425262728293031 What time? at 10am11am12am13pm14pm15pm16pm17pm18pm19pm20pm21pm22pm : 00153045
☆☆2nd choice SeptemberOctoberNovemberDecemberJanuaryFebruaryMarchAprilMayJuneJulyAugust Which date? 12345678910111213141516171819202122232425262728293031 What time? at 10am11am12am13pm14pm15pm16pm17pm18pm19pm20pm21pm22pm : 00153045
What would you like to have a hair done? Cut Menu（You could choice more than one） Free consultation(15min) Mens-cut Lady's-cut Uni student Under 18 Under 12 No hair cut
How long your hair length? very short short shoulder line over shoulder long ex long
Would you like to have other services?（You could choice more than one） Permanent Colour Semi Colour Japanese Straightening System
If you would care about damage hair, you need Japanese Treatment? G1 TR 2100yen) G2 TR 3150yen G3 TR 4200yen Special Order from 5250~
Could I please ask your detail? First-name(required):
Surname(required):
Your email(required):
Please make sure your email address is not wrong.
Mobile (or Fixed) Number(required):
Please mke sure your number is not wrong.
Other
Have you ever met Yasu TANAKA before? No, This is first time to meet Yes, I have met before.
If your answer is 'No', How did you know about Yasu Google or Yahoo searching engine Flyer Friend or family other
If your answer is 'Yes'. Where did you meet Yasu? Australia Germany USA Japan Other
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