THE TAWARAYA Rosana tion Focm 1b1 +81.75-212.51566 Fax+81-76-211-2204 Please 611 out the following questions Your Name: f,4\12`64 A SP U IA AK. Your Add co ss GAS- [CUTH NPI Your Phono Num Fax Numbe.:i: The Number of Peon's: Q of Room: I Lang th of Stay: 5 — night