En Steak House 
Reservation request form
Please request the day and time of visiting, through below mail-form. 
                    Your reservation will be confirmed when we contact you back.
Please contact us by phone if you are in hurry
078-333-8125
Enter 
information
                        information
Confirmation of 
input contents
                        input contents
Reception 
completion
                    completion
                                        Required
                                        Name
                                    
                                This must not be blank
                                
                                        Required
                                        Email
                                    
                                This must not be blank
                                    Please fill in right format
                                
                                        Required
                                        Phone number
                                    
                                This must not be blank
                                    Please fill in right format
                                
                                        Required
                                        Reservation date
                                    
                                This must not be blank
                                    Incorrect number
                                
                                        Required
                                        Number of users
                                    
                                人
                                        This must not be blank
                                    Incorrect number
                                
                                        Remarks