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The first half of 2012 blue ize application form

Nice shot accommodation plan (blue at the first half of 2024)

Plan name
Representative full name ※required
Furigana ※required
The date of birth ※required
/ /   
Sex ※required
Phone number ※required
E-mail address ※required


※A lot of cases which an email does not reach to an address of iCloud are confirmed. I am sorry to trouble you, but I would appreciate your registering an address except iCloud as much as possible.
※There is the possibility divided in two by ha junk email to Gmail. Please confirm it to a junk email box.
Zip code ※required
(example) 850-0035 or 8500035
Address ※required
The number of participants (adult) ※required
The number of participants (child)
※Primary schoolchild or younger
The number of participants (infant)
The departure date (from April to June) ※required

※An exclusion day: 6/21-6/23
※I take it off than a choice on no vacancies day.
※Please note that you may not take it depending on the space situation on the selectable day either.
The departure date (from July to September) ※required

※An exclusion day: 7/20-8/31
※I take it off than a choice on no vacancies day.
※Please note that you may not take it depending on the space situation on the selectable day either.
The accommodations (the first hope) ※required
The accommodations (the second hope)
Dinner option
※Tsubaki Hotel only as for choice bino case
Surface mail (going) ※required
Surface mail (return) ※required
Golf play start time you like ※required
(example) the first day 10:00 start
Golf 1 play addition ※required

Weekdays: 9,000 yen, Saturdays, Sundays, and holidays: 12,000 yen
About jikomi of the golf bag ※required

※jikomi of the golf bag is not made to a Jetfoil.
I am sorry to trouble you, but I would appreciate your sending it by yourself beforehand.
Remarks
※Please input in the following column about the companion.
Companion 1
Companion 1: Full name ※required
Companion 1: Furigana ※required
Companion 1: The date of birth ※required
/ /   
Companion 1: Sex ※required
Companion 1: Phone number ※required

※An example: 095-823-0423 or 0958230423
Companion 2
Companion 2: Full name
Companion 2: Furigana
Companion 2: The date of birth
/ /   
Companion 2: Sex
Companion 2: Phone number

※An example: 095-823-0423 or 0958230423
Companion 3
Companion 3: Full name
Companion 3: Furigana
Companion 3: The date of birth
/ /   
Companion 3: Sex
Companion 3: Phone number

※An example: 095-823-0423 or 0958230423
Companion 4
Companion 4: Full name
Companion 4: Furigana
Companion 4: The date of birth
/ /   
Companion 4: Sex
Companion 4: Phone number

※An example: 095-823-0423 or 0958230423
Companion 5
Companion 5: Full name
Companion 5: Furigana
Companion 5: The date of birth
/ /   
Companion 5: Sex
Companion 5: Phone number

※An example: 095-823-0423 or 0958230423
Kyushu Syosen
〒850-0035
16-12, Motofunamachi, Nagasaki-shi, Nagasaki
TEL.0570-017510
1.Passenger regular line business
2.Harbor express service
3.Transportation business
4.Travel agency
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