イースタートラベル有限会社Tel:03-5850-3315Fax:03-3803-1105E-mail:[email protected]

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  
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 birthDay Month Year
Sex 
Address,personal contact and emergency contact
Please fill in the - fields highlighted pink if your address and personal contact and emergency contact are different from your group leader.
AddressPostal code:
Tel
Cell phone
LINE ID
Email address
Emergency contact in your home countryName of your contact:
Relationship:
Postal code:
Address:
Tel:
Cell phone:
Traveling companion 2
Name
Date of birthDay Month Year
Sex 
Address,personal contact and emergency contact
Please fill in the - fields highlighted pink if your address and personal contact and emergency contact are different from your group leader.
AddressPostal code:
Tel
Cell phone
LINE ID
Email address
Emergency contact in your home countryName of your contact:
Relationship:
Postal code:
Address:
Tel:
Cell phone:
Traveling companion 3
Name
Date of birthDay Month Year
Sex 
Address,personal contact and emergency contact
Please fill in the - fields highlighted pink if your address and personal contact and emergency contact are different from your group leader.
AddressPostal code:
Tel
Cell phone
LINE ID
Email address
Emergency contact in your home countryName of your contact:
Relationship:
Postal code:
Address:
Tel:
Cell phone:
Passport  
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
※Please fill in a type of tour when you choose "Others".
Tour Arrangement Tour Course:
Travel Period:
Day Month Year - Day Month
Room Type:
※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:  
※Please fill in your request when you choose "Others".
※We might not be able to meet your request.
Smoking Preference: 
※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:  
Remarks
Confirmation of Terms and Condtions Terms and Conditions of the Package Tours operated by Estar Travel

Confirm

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