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「Train Suite Shiki-Shima」Application Form

required Title

※Required Field

required First Name

※Required Field

required Last Name

※Required Field


Apt /Unit /Suite

required Street Address

required City Town

required State /Province /Prefecture

required Zip /Postal Code

required Country

required Cellular Phone

required Email

Email again

required Nationality

required Gender

required Date of birth

※yyyy / mm / dd (Please Select)
/ /

required Passenger

※Please Select One .

required Room Type

※Please Select One.


※Please select one

required 【4Day/3night】Departure date

※Please Select One

(If you select "4Day/3night" in Course, 【4Day/3night】Departure date is required.)

required 【4Day/3night】Choice of Excursion

※Please Select one

(If you select "4Day/3night" in Course, 【4Day/3night】Choice of Excursion is required.)

required 【2Day/1night】 Departure date

※Please Select One

(If you select "2Day/1night" in Course, 【2Day/1night】 Departure date is required.)

required Special Request 1

※Please let us know if you have any special dietary requirements. We don't provide Halal food.We appriciate your understanding.

Special Request 2

※Please let us know if there is any health or physical condition or limitations that we should be aware of. eg.wheel chair,

Other Request/Inquiry

※How did you know about us?