Dr. Mr. Mrs. Ms. __________________________________________ Birthdate ___________

(Print complete name as shown on your passport)

Passport No. _________________ Expires __________ Occupation  _______________________

(All U.S. citizens require a passport for travel to Japan that is valid three months longer than your scheduled return date.)

Dr. Mr. Mrs. Ms. __________________________________________ Birthdate ___________

(Print complete name as shown on your passport)

Passport No. _________________ Expires __________ Occupation  _______________________

   (All U.S. citizens require a passport for travel to Japan that is valid three months longer than your scheduled return date.)

Home Address________________________________City____________  State ____ Zip_________

Mailing Address ______________________________ City ____________  State ____ Zip_________

(If different from home address)

Phone: Home __________________    Business _____________________    Cell ___________________

Email address: __________________________________________   Fax: _________________

Would you like Yamato Travel Bureau to assist you with air arrangements?  Yes ______    No______

ANA Mileage Number(s)  _________________________     _________________________

Global Entry Number(s) _________________________    _________________________  

If you arrange your own air, please let us know as soon as possible.  Send us your flight itinerary once it’s confirmed.

Hotel room preference:  Smoking _______      Non-smoking _______   

Other special requests: ________________________________________________________________________________

Do you have any special dietary, medical or physical needs of which we should be aware? ________________________________________________________________________________

Please provide name, relationship, and phone number of person to contact in case of emergency: ________________________________________________________________________________

Please send:

 completed reservation form,  deposit of $500 per person, and  copy of your valid passport, to:

Card number: _____________________________________________________

Expiration: ___________________ Security number:_____________________

Cardholder name: _________________________________________________

Billing address if different from home address: _________________________