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Application form page (from April to September)

Application form (Tsubaki Hotel of one) from April to September

Plan name ※required
Representative full name ※required
Furigana ※required
The date of birth ※required
/ /   
Sex ※required
Phone number ※required
(Half-width number)

※Please input cell phone number as the emergency contact information. (I do not need hyphen input)
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.
Address ※required
 
The number of participants (adult) ※required
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: 8/8-8/18.8/24
※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 Nagasaki Port start on a voyage time (surface mail) ※required
The Fukue Port start on a voyage time (surface mail) ※required
Dinner option ※required

Remarks (if there is anything, please fill it out)
When you change the surface mail of the return journey after the third day, please fill in the date and time you like.
In addition, please fill in so when the staying after eyes is added with that in 2 nights.
Change, additional staying of the return journey surface mail
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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