Dr. Mr. Mrs. Ms. __________________________________________ Birthdate ___________
   (Print complete name as shown on your passport)
 Passport No. _________________ Expires __________ Occupation  _______________________
 (U.S. citizens require a passport that is valid for the entire time you are in Japan. Check requirements for 

   other countries.)
  
Dr. Mr. Mrs. Ms. __________________________________________ Birthdate ___________
   (Print complete name as shown on your passport)
 Passport No. _________________ Expires __________ Occupation  _______________________
   (U.S. citizens require a passport that is valid for the entire time you are in Japan.  Check requirements for

     other  countries.)

 

Home Address_______________________________ City______________  State ____ Zip_________
Mailing Address ______________________________City ______________ State ____ Zip_________
  (If final documents are sent by UPS, they cannot deliver to a P.O. box.)
Phone: Home __________________    Business _____________________    Cell __________________
Email address: __________________________________________   Fax: _________________ 

 

Airline Mileage No. : ________________________________________________________
  (Specify no. for each person.) 
 
Note: If you arrange your own air, please let us know as soon as possible.
Send us your flight itinerary once it is 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: ______________________________________________________________________________
If you wish to extend your stay in Japan, let us know how we can help with your arrangements: ______________________________________________________________________________

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

YAMATO TRAVEL BUREAU®
250 East First Street, Suite 1112, 
Los Angeles, CA  90012-3827

Please note: After confirmation, final payment is due by March 26, 2015

 

Phone:  (213) 680-0333 or (800) 334-4YTB (outside of local area)  Email: groups@yamatotravel.com
CST # 1019309-10