CST# # 1019309-10 RESERVATION FORM FOR YAMATO DELUXE AUTUMN TOUR TO JAPAN NOVEMBER 4 – 14, 2019 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 final documents are sent by UPS, they cannot deliver to a P.O. box.) Phone: Home _______________ Business ________________ Cell __________________ Email address: _______________________________________ Fax: _________________ 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: PEGGY T. MIKUNI YAMATO TRAVEL BUREAU 2587 E. Washington Blvd., #308 Pasadena, CA 91107 Please note: After confirmation, final payment is due by September 4, 2019 Phone: (213) 680-0311 Email: peggy@yamatotravel.com |
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