Please complete the form below and mail to azabu@kohgendo.com to request for a treatment.

• ■Your name Full name:
• ■Preferred date and time
• ■Second choice of date and time
• ■Telephone number　Please provide a contact number where we can reach you during the daytime.
• ■Preferred course

The salon will contact you within two business days to confirm your reservation.
Please note that your reservation will not be confirmed until then.