YAMATO DELUXE SUMMER TOUR TO JAPAN June 24- July 4, 2013 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. (ANA or United): ________________________________________________________ (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 April 25, 2013 Phone: (213) 680-0333 or (800) 334-4YTB (outside of local area) Email: groups@yamatotravel.com CST # 1019309-10 |
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