Program Group Assignment Notice:
For certain activities and experiences within the itinerary, participants may be organized into smaller groups to ensure a premium, personalized experience and to accommodate the specific capacity of each venue.

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Last Name *

First Name *

Middle Name

Date of Birth *

Formate DDMMMYY Ex) December 7, 1965 ⇒ 07DEC65

Gender *--- Select Choice ---MF

Citizenship *--- Select Choice ---USAJPNKORPHLOther Country

Passport Issuing Country

Passport Number *

Passport Document Number

Passport Expiration Date *

Formate DDMMMYY Ex) December 7, 2035 ⇒ 07DEC35

Room Type *--- Select Choice ---TWNSGLTPL

TWN: 2 Twin Beds for 2 Guests
SGL: 1 Single Bed for 1 Guest
TPL: 2 Twin Beds + 1 Single Bed for 3 Guests

E-mail *

E-Mail Address

Phone Number *

Home Address *

Info Tour Contact

Mileage AirlinesJL-Japan AirlinesAS-Alaska AirlinesHA-Hawaiian AirlinesNH-All Nippon AirwaysUA-United AirlinesDL-Delta AirlinesKE-Korean AirOZ-Asiana Airlines

Select your airline for mileage accrual

Mileage Number

Known Traveler Number

Global Entry or TSA Number

Emergency Contact Name *

EMERGENCY CONTACT INFORMATION

Emergency Contact Relation *

EMERGENCY CONTACT INFORMATION

Emergency Contact Number *

EMERGENCY CONTACT INFORMATION

Emergency Contact Email *

EMERGENCY CONTACT INFORMATION

Food Allergy *--- Select Choice ---NOYES

If yes, please specify your food allergies

severity of allergy, symptoms, contact sensitivity, etc.

Medical Info

Please list any medical conditions or concerns that may affect your participation in this tour.

Tour Package Type *--- Select Choice ---Full PackageLand Package (No Air)

Full Package: Round Trip Air + Land Package
Land Package: Land Package Only (No Air)

Returning Guest? *--- Select Choice ---YESNO

If you have previously joined our fully escorted fixed date tour, please select YES.

Returning guests are eligible for a Special Discount, so please be sure to ask our staff.

Additional Requests

If you have previously joined our fully escorted fixed date tour, please select YES.

Returning guests are eligible for Special Discounts, so please be sure to ask our staff.

Survey

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• Friend/Family Recommendation
• Other

How did you find out about our tour? Please check all that apply.

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