Address
Name
E-Mail
TEL
Age
years old
¡¡
The infomation of the tourist
Name
The number of people
Adult
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
¡¡¡¡
Child
--
1
2
3
4
5
Child's birthday
1:
Year
--
1
2
3
4
5
6
7
8
9
10
11
12
month
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
2:
Year
--
1
2
3
4
5
6
7
8
9
10
11
12
month
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
3:
Year
--
1
2
3
4
5
6
7
8
9
10
11
12
month
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
4:
Year
--
1
2
3
4
5
6
7
8
9
10
11
12
month
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
5:
Year
--
1
2
3
4
5
6
7
8
9
10
11
12
month
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
The number of
your group
Adult/Male
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
¡¡Adulut/Female
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
¡¡
Child/Male
--
1
2
3
4
5
¡¡Child/Female
--
1
2
3
4
5
The number of
the room
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
The period of
your stay
----
2001
2002
year
--
1
2
3
4
5
6
7
8
9
10
11
12
month
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day¡¡¡Á¡¡
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
night
Nationality
----------
Japan
Chinese
Korean
Americha
Destination
Abashiri(ÌÖÁö)
Shiretoko(Ãξ²)
Sounkyou(ÁرÀ¶®)
Onnespring(²¹º¬Åò)
Kawayu(ÀîÅò)
Tokachigawa(½½¾¡Àî)
Akan(°¤´¨)
Others
Language
Japanese
English
Pekingese
Cantonese
Korean
French
Italian
German
Vegetarian
Yes
No
No beef
Yes
No
Your request during your stay
(Please write your request travel)
¡¡
Mode of payment
Cash
------------
Japanese Yen
US Dollars
Credit Card
-------
JCB
VISA
MASTER
Traveler's check
------------
Japanese Yen
US Dollars