The data sent through this form is not encrypted.
There will be no confirmation view. Please check if you wish to make any corrections before you hit the button.
In addition to the contents of your message, clicking the button also records the following variables:
1. Your Host IP address
2. UserAgent of your browser
3. URL of this page.
4. HTTP Referer of this page.
Please include your email address if you need to be contacted.
There will be no automatic reply to this message.

Access

Fuudo cafe & bar yagi ni kiku?, daikanyama

20-20monsherry daikanyama　B1F,daikanyama-cho sibuya-ku tokyo