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INQUIRY

Mail form

* = required
Name*
(fictitious name possible)
Sex*
Male Female
Age*
years old
Email Address*
Phone number
Job*
Income(Male only)
How did you know about this site of our club?
The place for interview
The time for interview
First choice date  time
Second choice date  time
Questions
service hotline 080-3692-1493
TEL 03-6303-3945 0120-954-815
OPEN 12:00-20:00 Closed Sundays and public holidays CALL