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[Reservation form] E-bike Picnic in Miyama

This is the reservation form for "E-bike Picnic in Miyama".
Please fill in the form below.
You'll receive payment details from Miyama Tourism Association within 2 business days(Closed on Wed).
Your reservation is confirmed after your payment is done.

Name *

E-mail address *

E-mail address (Confirmation) *

* Please input again for confirmation

Date(except Wed) *

/ /

Number of participants *

Mobile phone number(WhatsApp) *

Nationality *

Transportation *

Arrival time *

Restaurant/drink *

*Only for Ewa land, choose the rice burger

Food allergy *

VISA or MASTER is available for the payment *

Message

Your reservation is not confirmed yet.
Miyama Tourism Association will send you the payment details E-mail within 2 business days(Closed on Wed).