JAPAN JOURNEYS RESERVATION FORM

Tour Type (Guided or Independent Tour)

Number of travellers

CONTACT DETAILS OF LEAD PASSENGER

Name

Phone

Address

Multi-line address

Country/Region

Address

City

Zip / Postal code

PASSENGER #1

Passenger #1 Title (Mr/Ms/etc.)

ALL forenames as written on your Passport (including middle names)

Surname

Date of Birth

Day

Month

Year

Passport Number

Nationality

Passport Place of Issue

PASSENGER #2

Passenger #2 Title (Mr/Ms/etc.)

ALL forenames as written on your Passport (including middle names)

Surname

Date of Birth

Day

Month

Year

Passport Number

Nationality

Passport Place of Issue

PASSENGER #3

Passenger #3 Title (Mr/Ms/etc.)

ALL forenames as written on your Passport (including middle names)

Surname

Date of Birth

Day

Month

Year

Passport Number

Nationality

Passport Place of Issue

PASSENGER #4

Passenger #4 Title (Mr/Ms/etc.)

ALL forenames as written on your Passport (including middle names)

Surname

Date of Birth

Day

Month

Year

Passport Number

Nationality

Passport Place of Issue

PASSENGER #5

Passenger #5 Title (Mr/Ms/etc.)

ALL forenames as written on your Passport (including middle names)

Surname

Date of Birth

Day

Month

Year

Passport Number

Nationality

Passport Place of Issue

PASSENGER #6

Passenger #6 Title (Mr/Ms/etc.)

ALL forenames as written on your Passport (including middle names)

Surname

Date of Birth

Day

Month

Year

Passport Number

Nationality

Passport Place of Issue

DIETARY REQUIREMENTS Please let us know if you have any specific dietary requirements. Whilst we will be able to accommodate your requests in-flight, there is no guarantee of this whilst on tour.

HEALTH & FITNESS

Do any passengers in your party suffer from any disability/medical conditions that may affect your holiday arrangements?

Do any passengers have walking difficulties or mobility restrictions?

If the answer is YES to either of the above questions, please provide the name of the relevant traveller and further details below:

TRAVEL INSURANCE

Insurance company:

Policy Number:

Phone

Emergency Assistance Company:

CONTACT DETAILS FOR NEXT OF KIN (NOT TRAVELLING) IN THE EVENT OF AN EMERGENCY

Name

Telephone Number:

On behalf of all named persons on this Reservation Form, I accept the Booking Conditions (available here), general information and insurance conditions.

Signature

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