Destination JapanH.I.S. International Tours, Inc.
 
 
   
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1. Information 2. Payment 3. Confirmation  

Step1: General Information

Passenger Information:

Please enter the number of passengers traveling with you. You may enter multiple passengers ONLY if they will be paid for with the same credit card. Participants who are paying separately must fill out reservation forms separately.

For non-US residents, please contact Destination Japan directly to make your reservation.

Please note that participants are restricted to those at least 18 years of age. Exceptions will be made for those under 18 on a case-by-case basis. If someone in your party is not yet 18 years old, please contact Destination Japan (877-DT-JAPAN) before filling out this form.

No of Travelers:
Name1:
(Main)
Prefix:
First Name:
Last Name:
Name1:
(Main)
Prefix:
First Name:
Last Name:
Name2: Prefix:
First Name:
Last Name:
Name1:
(Main)
Prefix:
First Name:
Last Name:
Name2: Prefix:
First Name:
Last Name:
Name3: Prefix:
First Name:
Last Name:
Name1:
(Main)
Prefix:
First Name:
Last Name:
Name2: Prefix:
First Name:
Last Name:
Name3: Prefix:
First Name:
Last Name:
Name4: Prefix:
First Name:
Last Name:
Name1:
(Main)
Prefix:
First Name:
Last Name:
Name2: Prefix:
First Name:
Last Name:
Name3: Prefix:
First Name:
Last Name:
Name4: Prefix:
First Name:
Last Name:
Name5: Prefix:
First Name:
Last Name:
Name1:
(Main)
Prefix:
First Name:
Last Name:
Name2: Prefix:
First Name:
Last Name:
Name3: Prefix:
First Name:
Last Name:
Name4: Prefix:
First Name:
Last Name:
Name5: Prefix:
First Name:
Last Name:
Name6: Prefix:
First Name:
Last Name:
*Please enter your name exactly as it appears on your passport.
Your middle name is not required.
Where did you hear about
Destination Japan?

Select Tour:

Tour Selection:
Optional Tour Package(+$149)
I would like to extend my stay in Japan beyond the dates of the tour.
*Please enter your expected return date below.
H.I.S. Los Angeles Calendar
PLEASE NOTE: If you are extending your stay, your reservation may be subject to current air and/or hotel room availability. Please fill out the information below and a representative from Destination Japan will contact you to complete your reservation over the phone.

Hotel Room(s):

Room Preference: I would like a single room to myself.
  Please indicate how many single rooms your party requires:

*Please note there is a per night charge for single rooms. This price may very depending on the hotel(s) the tour stays at.
  I agree to share a room with another participant of the same sex.

*In the event that a tour ends up with an odd number of participants, the most recent reservation will be placed in a single room and charged the appropriate fee. To best avoid this situation, please sign up as early as possible.

Mailing Address:

Address: (Street) (Apt/Suite)
(City) (State) (Zip)

Main Contact:

Home Phone:  Cell Phone:
Work Phone:  E-mail Address:

Preferred Phone Contact:

Emergency Contact:

Emergency Contact: First Name
Last Name
Relationship
Home Phone Cell Phone

Terms and Conditions:

I agree that I have read, understand and accept the terms and conditions above.


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CSOT#:2001900-10