Note:  All U. S. citizens require a valid passport for entry into Canada

Mr. Mrs. Ms.___________________________  Birthdate _______  
(Please advise legal name shown on your passport)
Are you an U. S. citizen? ____    If no, of what country?    ___________  

Mr. Mrs. Ms.___________________________  Birthdate _______  
(Please advise legal name shown on your passport)
Are you an U. S. citizen? ____    If no, of what country? __________       

Home Address  ______________________________________        
City ______________________        State  ______   Zip  _________  

Final documents are sometimes sent by UPS, advise most convenient delivery address for this: _________________________________

Home phone number _________________  Bus. No. ____________   
Fax number _______________________
Email____________________________

Hotel room preference:     Smoking ____    Non smoking   ______

For air arrangements through Yamato Travel Bureau:
Airline seat preference (request only) window  ____     Aisle   ____ 
Mileage Card Number:      _____________    _________________
                                                     _____________    _________________
                                                     _____________    _________________ 
 
Please advise if there are any special dietary, medical or physical
problems of which we should be aware.   _________________________________________________                      

In case of emergency, notify:
Name _______________________________
Relation ________________     Phone #  ________________ 

PLEASE RETURN THIS FORM WITH COPY OF YOUR VALID PASSPORT AND CHECK DEPOSIT OF $500.00 PER PERSON TO:

YAMATO TRAVEL BUREAU®
(CST No. 1019309-10)
250 East First Street, Suite 1112
Los Angeles, CA  90012
Telephone: (213) 680-0333 or
                          800-334-4YTB (outside local calling area)
Email:  Groups@yamatotravel.com