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"Fukue island" to go round by a periodical sightseeing bus one-day second half year 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
Cell-phone ※required
(Half-width number)
E-mail address ※required


※Please set the person that domain-designated reception is set to be able to receive a confirmation email from "kyusho-tour@kyusho.co.jp".
The point where you wish to contact ※required
Request for contact information time
Address ※required
 

※Please input until an address, building name by all means.
The number of participants (adult) ※required
The number of participants (dwarf) ※required

※Please input the number of primary schoolchildren.
The number of participants (infant) ※required

※Please input the number of non-school children.
The departure date (the first hope) ※required
/   
※The reservation until four days ago
(an exclusion day: 12/25-1/7)
Departure date (the first hope) from October to December ※required

※When a desired day is not from October to December, please choose "there is no hope".
※Making a reservation until five business days ago
※An exclusion day: 12/28-1/5
The departure date (the second hope)
/   
Departure date (the first hope) from January to March ※required

※When a desired day is not from January to March, please choose "there is no hope".
※An exclusion day: 12/28-1/5
The departure date (the third hope)
/   
Departure date (the second hope) from October to December
Surface mail going
Nagasaki Port 7:40 dep. → Fukue Port 9:05 arr.
Departure date (the second hope) from January to March
It is optional in the afternoon ※required
The settlement method ※required
Return Fukue Port dep.  ※required
Companion 1 (full name) ※required
Sex ※required
The date of birth ※required
/ /   
Phone number ※required
Remarks
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