Request for Issurance of a Letter of Introduction to an Affiliated Club

    Please read our privacy policy and understand that the personal information included in your request will be handled with care in accordance with this policy.

    Request for Issuance of a Letter of Introduction to an Affiliated Club

    (This form is only to apply for a Letter of Introduction. Reservation requests should be sent directly to the relevant club.)

    TO: Membership Department, International House of Japan

    Membership No.:
    Name: (required)
    E-mail address: (required)

    Please issue a Letter of Introduction as below and send it to the club with cc to me.

    1. Name of the Affiliated Club

    (Please choose from the pulldown list.)

    2. Details of Accommodation Reservation

    Check-in date: ,

    Check-out date: ,

    Guest Name: SELF

    Name of Accompanying Person:

    Confirmation Number: 

    3. Details of Restaurant Reservation
    (for Cosmos Club, Cornell Club, and Reform Club only)

    Date: , / Time: :

    Reservation Name: SELF

    Name of Accompanying Person:


    Example: during the stay from month/day to month/day

    This website uses reCAPTCHA, a free security service provided by Google, to protect our contact forms from spam and abuse. If you are experiencing technical difficulties, please contact us by phone.


    Membership Department
    International House of Japan
    5-11-16 Roppongi, Minato-ku, Tokyo 106-0032
    TEL: 03-3470-9115 (Mon.-Fri., 9:00 am-5:00 pm)
    FAX: 03-3470-3170