Reservation Form – 屋久島自然案内

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The Reservation Form

(1)Representative Information

RequiredYour Name	Last Name*	First Name*
RequiredYour e-mail address*
RequiredRe-enter Your Email*
Cell phone number (with country code)*
What country are you from?*

(2)Reservation details

The number of tours desired to participate

How many tours do you wish to book?

Desired number of tours	123

Desired tours and dates

Tour 1️⃣

Desired Date of Participation
Desired Tour
Charter Preference	Please check if you wish to have a private tour with only your fellow travelers ⇒(Private) Tour Preference

Tour 2️⃣

Desired Date of Participation
Desired Tour
Charter Preference	Please check if you wish to have a private tour with only your fellow travelers ⇒(Private) Tour Preference

Tour 3️⃣

Desired Date of Participation
Desired Tour
Charter Preference	Please check if you wish to have a private tour with only your fellow travelers ⇒(Private) Tour Preference

The number of participants

Total number of participants	12345678

Participants Data

Participant 1️⃣(Representative)

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 2️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 3️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 4️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 5️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 6️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 7️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Participant 8️⃣

Name	Age	Sex
		MaleFemale
Height(cm)	Weight(kg)	Foot size(cm) / Shoe Size Conversion Chart

Do you usually wear glasses? (= I don't wear contact lenses)	I normally wear glasses.I normally wear contact lenses or have no problems with my eyesight.

If you wear glasses, please let us know your "Eyesight" or "Power of Glasses(SPH)" of your glasses.	Eyesight	Power of Glasses(SPH)

Payment

Method of payment	Cash on siteCredit card payment in advanceBank transfer in advance
Method of payment	If you wish to pay by credit card, we will send you the credit card payment information by e-mail to confirm your reservation. If you wish to pay by Bank transfer, we will send you the bank account information by e-mail to confirm your reservation. "Credit card payment in advance" is only available for ocean activities. For all activities, on-site payment is by cash only.

(3)Trip details

Accommodation and transportation

Accommodations
Meetup & Pickup	Rental Car Availability With car rentalWithout car rental	If "Without car rental", where would you like to be picked up and dropped off?

Trip Schedule

Arrival Date & Time to Yakushima

Arrival Date	Arrival Time			Arrival Transportation
		:

Departure Date & Time from Yakushima

Departure Date	Departure Time			Departure Transportation
		:

(4)Questions and inquiries

If you have any questions or concerns, please feel free to ask.
If you wish to participate in Fun Diving(Guide Dive for certified divers), please remember to indicate here your logged dives and your previous dive date.

Message

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