立川紋屋（テイクアウト）

Purpose

Visit History

Question 1

アレルギーや特別苦手な食材がある場合は、食材と該当する個数もご記入ください。

Question 2 Req

店舗からのメール又は電話の確認をもってご予約の完了となります。予めご了承ください。

Requests

NameReq

Mobile PhoneReq

EmailReq

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