Home Address________________________________________
City_________________________State______Zip___________

Preferred Mailing Address ______________________
City ________________________ State _____  Zip ___________
(Final documents are sent by UPS, advise most convenient delivery
address for this.)

Home phone number: __________ 
Business phone: __________ 
Fax number: ___________

 Email address: ____________________________   

Japan Airline or American Mileage Numbers: ___________________

 Airline seat preference:  _____________________
(seats are on request basis)

Please advise if there are any special dietary, medical or physical problems of which we should be aware of ___________________________________________________

Please advise if you wish to extend your stay in Japan, on your own.  Destination and dates: __________________________________________________

Please provide name, relation and phone number of person to contact in case of emergency: ___________________________________________________

PLEASE SEND COMPLETED APPLICATION AND DEPOSIT OF $500.00 PER PERSON, ALONG WITH A PHOTO COPY OF YOUR VALID PASSPORT TO:

 YAMATO TRAVEL BUREAU®
 (CST # 1019309-10)
 250 East First Street,  Suite 1112
 Los Angeles, CA  90012

Final payment is due by April 28, 2010