イースタートラベル有限会社
Tel:03-5850-3315
Fax:03-3803-1105
E-mail:
[email protected]
Home
Tour Application Form
Mandatory fields are marked with an asterik.
Please be sure to fill in your emergency contact for just in case.
Name
*
Date of birth
*
Day
Month
Year
Sex
*
Male
Female
Address
*
Postal code:
Tel
*
Cell phone
*
LINE ID
Email address
*
Emergency contact in your home country
*
Name of your contact:
*
Relationship:
Postal code:
Address:
Tel:
*
Cell phone:
Traveling companion 1
Name
Date of birth
Day
Month
Year
Sex
Male
Female
Address,personal contact and emergency contact
Same as the group leader
Please fill in the - fields highlighted pink if your address and personal contact and emergency contact are different from your group leader.
Address
Postal code:
Tel
Cell phone
LINE ID
Email address
Emergency contact in your home country
Name of your contact:
Relationship:
Postal code:
Address:
Tel:
Cell phone:
Traveling companion 2
Name
Date of birth
Day
Month
Year
Sex
Male
Female
Address,personal contact and emergency contact
Same as the group leader
Please fill in the - fields highlighted pink if your address and personal contact and emergency contact are different from your group leader.
Address
Postal code:
Tel
Cell phone
LINE ID
Email address
Emergency contact in your home country
Name of your contact:
Relationship:
Postal code:
Address:
Tel:
Cell phone:
Traveling companion 3
Name
Date of birth
Day
Month
Year
Sex
Male
Female
Address,personal contact and emergency contact
Same as the group leader
Please fill in the - fields highlighted pink if your address and personal contact and emergency contact are different from your group leader.
Address
Postal code:
Tel
Cell phone
LINE ID
Email address
Emergency contact in your home country
Name of your contact:
Relationship:
Postal code:
Address:
Tel:
Cell phone:
Passport
*
Have a valid passport.
Application is being processed.
Passport photo copy
※Please attach a photocopy of your passport showing your photo page if you have a vailid passport.
※You can attach up to 5MB per photo-copy by JPEG/PNG/GIF format.
Type of Tour
*
-- select --
MotoGP Tour
F1 Tour
WBSK Tour
Endurance World Championship Tour
Asia Rode Race Championship Tour
All Japan Road Race Championship Tour
Others
※Please fill in a type of tour when you choose "Others".
Tour Arrangement
Tour Course:
Travel Period:
Day
Month
Year -
Day
Month
Room Type:
-- select --
Singel
Double
Single 2pp share
Twin
Others
※Please fill in a kind of room type when you choose "Others".
Room mate (in case you share your room with someone):
Please fill in 【Single】 when you use a room alone.
Bed Preference:
1 Double/Semi Double
2 Single Beds
Others
※Please fill in your request when you choose "Others".
※We might not be able to meet your request.
Smoking Preference:
No smoking
Smoking
※We might not be able to meet your request.
Ticket Arrangement 【Optional Service】:
※Please fill in all ticket(s) you would like to book.
《General admission, Granddstand ticket, Vip package, Paddock Pass(Fri,Sat,Sun), Pitwalk Pass(Fri,Sat), and so on.》
Total Tour costs:
Yen
Ways of payment:
*
Credit card
Bank transfer
Remarks
Confirmation of Terms and Condtions
*
Terms and Conditions of the Package Tours operated by Estar Travel
I have read and understood the Cancellation Policies and Terms and Conditions.