TRAIN SUITE SHIKI-SHIMA APPLICATION

Copyright ? 2015 East Japan Railway Company All Rights Reserved. JR

「Train Suite Shiki-Shima」Application Form

required Title

※Required Field

required First Name

※Required Field

required Last Name

※Required Field

Address

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
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.



Course

※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.

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?
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