Move to the text

Application form (chartered taxi) from October to March

The application from this

Representative full name ※required
※An example: Taro Yamada
Plan name ※required
Furigana ※required
(Katakana)
※An example: Yamada Taro
Representative full name ※required
The date of birth ※required
/ /   
Furigana ※required
Sex ※required
The date of birth ※required
/ /   
Cell-phone ※required
(Half-width number)
Sex ※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.
Phone number ※required
(Half-width number)

※Please input cell phone number as the emergency contact information.
Address ※required
 

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

※I become an adult from junior high student or more.
The number of participants (infant) ※Free of charge
The number of participants (primary schoolchild)
The number of participants (infant)
The departure date (from January to March) ※required

※An exclusion day: 12/28-1/5
※I take it off than a choice on the day that it is full at.
※Please note that you may not take it depending on the space situation on the selectable day either.
It is optional in the afternoon ※required
The number of men ※required

※Please choose the number of men who are older than a primary schoolchild.
The number of women ※required

※Please choose the number of women who are older than a primary schoolchild.
The departure date (from April to June) ※required

※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: 8/8-8/18
※I take it off than a choice on no vacancies day.
※Please note that you may not take it depending on the space situation even if you can choose it.
Companion 1 ※required
Sex ※required
The Nagasaki Port start on a voyage time (surface mail) ※required

※Ship high-speed as for the Narao Port arr. as for ferry or Jetfoil, the Arikawa Port arr.
The date of birth
/ /   
The port of upper Goto start on a voyage time (surface mail) ※required

※Ship high-speed as for the Narao Port dep. as for ferry or Jetfoil, the Arikawa Port dep.
Phone number
Remarks (if there is hope of the assigning rooms, please fill this out)
Remarks
Please input to one person about the companion.
Companion 1: Full name ※required
Companion 1: Furigana ※required
Companion 1: The date of birth ※required
/ /   
Companion 1: Sex ※required
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
Back to TOP