特別オファー申込フォーム

Special Offer Form

    Welcome to Your Journey of Renewal

    Thank you for your interest in the Nihonbashi Wellness Journey. To ensure the ultimate standard of personal care and clinical precision, our retreat operates on an exclusive, private appointment basis.

    🌺 Exclusive “Founding ‘Ohana” Promotional Terms (Oct 2026 – Dec 2027):

    • Reservations are limited to strictly 10 confirmed couples per retreat month (Total 150 exclusive seats).
    • Guests who confirm their booking while their preferred month still has open promotional seats will be honored as a “Founding ‘Ohana” Member.
    • Founding ‘Ohana Privileges: Includes a complimentary $500 VIP Experiential Option with private chauffeured transport, plus lifetime priority access and seasonal bespoke gifts from Japan.

    Please complete the form below. Our dedicated VIP Concierge will personally contact you within 48 hours.

    Section 1: Guest Information

    1. Full Name (Primary Guest) [Required]

    4. Residence / Island [Required]

    Section 2: Referral & Invitation

    5. How did you hear about us? [Optional]

    Section 3: Preferred Retreat Month

    7. Select Your Preferred Retreat Month (October 2026 – December 2027) [Required]

    (Note: Founding ‘Ohana privileges apply to the first 10 confirmed couples per month.)

    8. Number of Guests Traveling [Required]

    Section 4: Complimentary $500 VIP Option Selection

    9. Select Your Preferred $500 VIP Experiential Option (1 Choice) [Required]

    (If your selected month qualifies for the Founding ‘Ohana promotion, this option valued at $500 with private luxury chauffeured transport will be fully complimentary.)

    Option 1: The Sacred Blessing & Fine Dining
    Personalized shrine prayer based on Sanmei-gaku destiny calculation, followed by private Japanese fine dining.

    Option 2: The Kimono Elegance & Heritage Portrait
    Custom Kimono styling by a master concierge, professional portrait photography, and celebratory Japanese lunch.

    Option 3: The Mebyo Wellness & Minato Mirai Harbor Lunch
    Preventive health/Mebyo consultation with Mr. Sakamoto paired with a resort lunch in Yokohama Minato Mirai.

    Section 5: Special Requests & Medical Focus

    10. Specific Areas of Interest [Optional]

    Section 6: Terms & Agreement

    12. Promotional Quota Acknowledgment [Required]

    I understand that the Founding ‘Ohana privileges [Complimentary $500 VIP Option and Lifetime VIP Access] are strictly limited to the first 10 confirmed couples for each respective retreat month. If my preferred month has reached its 10-couple capacity, I request to be contacted regarding standard registration or priority waitlist placement.