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Title* Mr Mrs Miss First Name* Last Name* Email* Phone Adult* 1 2 3 4 5 6 7 8 9 10 Child 1 2 3 4 5 6 7 8 9 10 Night* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Meal* BF No Meal DNR&BF Arrival* (Date / Month / Year) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2012 2013 Request / Remarks
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Petit Hotel SUZURAN Address: 17-6 Kitanomine Furano Hokkaido Japan 076-0034
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