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October 6 - 13, 2010
PASSENGERS (Write additional names and information on back or on a second form) Mr. Mrs. Ms. ______________________________________ Birthday ____________________________ Mr. Mrs. Ms. ______________________________________ Birthday _________________________ Home Address: ________________________________________
City _______________________________________________ State _____ Zip ______________ Final documents are sent by UPS, advise most convenient delivery address for this if different from your home address: _____________________________________________________________________________ Home phone number: _____________________ Fax number: __________________
Email Address: ___________________________________ Hotel room preference: Smoking ________ Non Smoking ________
Airline seat preference (request only, if you choose to have Yamat Travel Bureau arrange air for you)
Window ___________ Aisle ________
Please advise if there are special dietary, medical or physical problems of which we should be aware: _____________________________________________________________________________________ Please provide name, relation and phone number of person to contact in case of emergency _____________________________________________________________________________________ PLEASE RETURN THIS FORM WITH YOUR CHECK DEPOSIT OF $500 PER PERSON TO: YAMATO TRAVEL BUREAU®
(CST No. 1019309-10) 250 East First Street, Suite 1112 Los Angeles, CA 90012 Phone: (213) 680-0333 or (800) 334-4YTB / Fax: (213) 680-2825 Email: groups@yamatotravel.com Final payment is due by August 2, 2010 |
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