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.

Course; Choose your treatment options.
At our clinicAt home
If coming to our clinic, please choose among the following options:
Oil MassageShiatsu/massageAromatherapy
Hot Stone TheraphyFacial Massage & Collagen Mask
AcupunctureOrient AOrient B
Orient COrient DAnti-smoking
If at home, please choose among the following options
Shiatsu/massageAcupuncture/shiatsu
Orient AOrient BOrient C
AcupunctureOil TherapyAromatherapy
Date and time
Length of treatment60min　90min 120min40min
NameFirst name Last name
GenderFemaleMaleCouple
Address
For home and hotel calls, please provide us with your hotel name and room number.
Phone number
Email address
Comments