Reservation

Please use this form to make reservations at least three hours before your desired time. If you would like to come to Egbok immediately, please contact us by phone.(03-3586-8909) Please do not forget to include your phone number so we can confirm your reservation.

	If coming to our clinic, please choose among the following options:
Course	Choose your treatment place:
	At our clinic	At home


	<Massage therapy>
	Oil Massage	Shiatsu/Massage	Aromatherapy
	Hot Stone Theraphy	Facial Massage & Collagen Mask
	<Acupuncture>
	Acupuncture
	Orient A	Orient B	Orient C
	Orient D	Anti-smoking


	If at home, please choose among the following options
	Shiatsu/Massage	Acupuncture/Massage
	Orient A	Orient B	Orient C
	Acupuncture
	Oil Therapy	Aromatherapy

Date and time	（*）
Length of treatment	（*）	40min　60min　90min　120min
Name	（*）	Last name Fist name
Gender	（*）	Female Male Couple
Address	（*）
For home and hotel calls, please provide us with your hotel name and room number.
		Room
Phone number	（*）
E-mail	（*）
Example：egbokegbok-massage.com
Comments

Reservation - Massage, Acupuncture, Shiatsu in Roppongi Tokyo | EGBOK

Reservation