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Name *
Email Address *
Mobile Phone number*
Country and City *
Accommodation facility name *
Rental equipment*
item
number
Wheel Chair
012345more
StrollerA
StrollerB
Shower Chair
01
Shower Carry
Chair Boat
Buggy
Other
Rental Period Start * Out *
Stay Time ARR. *
DEP. *
Rental Location Lending. * Naha Air Port(International)Naha Air Port(Domestic)Naha Bus Terminal Returning. * Naha Air Port(International)Naha Air Port(Domestic)Naha Bus Terminal
Delibery ※Check the box if you require an rentals to be delivered to the hotel. ※Additional charge will apply for delivery if the destination is a hotel. Yes
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