Tour Code (旅遊編號)
Tour Name (旅遊名稱)
Departure Date (出發日期)Mandatory（必填）
（Year：2019） select Apr（4月） - 18 Apr（4月） - 23 Apr（4月） - 26 May（5月） - 6 May（5月） - 21
Number of Participants (報名人數)Mandatory（必填）
Adult (成人) select 0 1 2 3 4 5 6 select 0 1 2 3 4 5 6
※Adult: 12 years old and older (成人：12歲以上)
※Child: 6 - 11 years old (兒童：6～11歲)
※Infant (0 - 5 year old) cannot participate (嬰兒（0～5歲）不能參加)
Types of Rooms（房間種類）Mandatory（必填）
2 Persons Per Room（Twin Room）（2人1間）：select 0 1 2 3 select 0 1 2 3
Representative (代表者)
Name（姓名）Mandatory（必填）
※ Please put the full name as it is shown on the passport.
※ The maximum number of letters you may put in the text boxes above is 20 each. Only when your name doesn’t fit in the boxes, shortened version of your name is also accepted.
Sex（姓別）Mandatory（必填）
Male（男性） Female（女性）
Age（年齡）Mandatory（必填）
Nationality(國家或地区)Mandatory（必填）
Contact phone number（聯繫號碼）Mandatory（必填）
※ Fill in your mobile phone number that will be available in Japan. (If you do not have it, the number of your hotel is accepted.)
※ 請輸入在日本可以接通的, 您的手機號碼。（沒有的話, 請輸入在日本住宿的聯繫號碼。）
E-mail address（郵件地址）Mandatory（必填）
Comfirm e-mail addressMandatory（必填）
Accommodation in JapanMandatory（必填）
Companion 1(同行人1)
Name（姓名）
※ Please put the full name as it is shown on the passport.
※ The maximum number of letters you may put in the text boxes above is 20 each. Only when your name doesn’t fit in the boxes, shortened version of your name is also accepted.
Sex（姓別）
Male（男性） Female（女性）
Age（年齡）
Nationality(國家或地区)
Companion 2(同行人2)
Name（姓名）
※ Please put the full name as it is shown on the passport.
※ The maximum number of letters you may put in the text boxes above is 20 each. Only when your name doesn’t fit in the boxes, shortened version of your name is also accepted.
Sex（姓別）
Male（男性） Female（女性）
Age（年齡）
Nationality(國家或地区)
Companion 3(同行人3)
Name（姓名）
※ Please put the full name as it is shown on the passport.
※ The maximum number of letters you may put in the text boxes above is 20 each. Only when your name doesn’t fit in the boxes, shortened version of your name is also accepted.
Sex（姓別）
Male（男性） Female（女性）
Age（年齡）
Nationality(國家或地区)
Companion 4(同行人4)
Name（姓名）
※ Please put the full name as it is shown on the passport.
※ The maximum number of letters you may put in the text boxes above is 20 each. Only when your name doesn’t fit in the boxes, shortened version of your name is also accepted.
Sex（姓別）
Male（男性） Female（女性）
Age（年齡）
Nationality(國家或地区)
Companion 5(同行人5)
Name（姓名）
※ Please put the full name as it is shown on the passport.
※ The maximum number of letters you may put in the text boxes above is 20 each. Only when your name doesn’t fit in the boxes, shortened version of your name is also accepted.
Sex（姓別）
Male（男性） Female（女性）
Age（年齡）
Nationality(國家或地区)
Payment(支付方式)
◎ Online settlement with a credit card (A lump-sum payment only.)
Message(備註欄)
