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Periodical sightseeing bus "Fukue Island" two days application form

Inquiry

Representative full name ※required
※An example: Taro Yamada
Furigana ※required
(Katakana)
※An example: Yamada Taro
The date of birth ※required
/ /   
Sex ※required
Phone number ※required
E-mail address ※required
Communication hope point ※required
Contact information hope time
Address ※required
 

※Please input until an address, building name by all means.
The participation number of people (adult) ※required
The participation number of people (dwarf)
The participation number of people (infant)
The departure date (the first hope) ※required
/   
※Making a reservation until five days ago
(an exclusion day: 12/28-1/5)
The departure date (the second hope)
/   
The departure date (the third hope)
/   
Surface mail going
Nagasaki Port 7:40 dep. → Fukue Port 9:05 arr.
The accommodations (the first hope) ※required
The accommodations (the second hope)
The accommodations (the third hope)
Return Fukue Port dep.  ※required
It is optional in the afternoon on the first day ※required
Dinner is optional (in jo*ka, Toyama-so, a Tomihisa shop inn only in the choice bino)
Companion 1 (full name) ※required
Sex ※required
The date of birth ※required
/ /   
Phone number ※required
Companion 2 (full name)
Sex
The date of birth
/ /   
Phone number
Companion 3 (full name)
Sex
The date of birth
/ /   
Phone number
Companion 4 (full name)
Sex
The date of birth
/ /   
Phone number
Companion 5 (full name)
Sex
The date of birth
/ /   
Phone number
Remarks
Kyushu Syosen
〒850-0035
16-12, Motofunamachi, Nagasaki-shi, Nagasaki
TEL.0570-017510
1.Passenger regular line business
2.Harbor express service business
3.Car transport
4.Travel agency
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