Booking form

Trip details

Trip Name *—Please choose an option—CustomIzumi Crane TourCherry Blossom Hot Springs TourAmakusa Island HoppingGrazing Mt. Aso VolcanoCoast to CoastJapan HighlightsThe Length of JapanSatsuma: Way of the WarriorLand of VulcanoesKyushu Onsen TourKagoshima: Hot Springs and VulcanoesOther
Departure Date *—Please choose an option—12345678910111213141516171819202122232425262728293031—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember—Please choose an option—20232024202520262027
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Lead traveller information

Title *—Please choose an option—Mr.Mrs.Ms.
First name *
Last name *
Nationality *
Email *
Phone *
Date of birth —Please choose an option—12345678910111213141516171819202122232425262728293031—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember—Please choose an option—2014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930
Body length ?
Bike size ?
Medical conditions/dietary requirements ?

Emergency contact *—Please choose an option—Mr.Mrs.Ms. First name * Last name *
Emergency contact phone *
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Second traveller information

—Please choose an option—Mr.Mrs.Ms. First name Last name
Nationality
Date of birth —Please choose an option—12345678910111213141516171819202122232425262728293031—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember—Please choose an option—2014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930
Body length
Bike size
Medical conditions/dietary requirements

Emergency contact —Please choose an option—Mr.Mrs.Ms. First name Last name
Emergency contact phone
For additional travellers, please submit this form and re-submit it for each additional two travellers.
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Additional information

Need *—Please choose an option—no12 rental bikes.
Please indicate whether you are bringing your own pedals, seat, handlebar extensions (bar ends, aerobars,…), etc.

Room *—Please choose an option—DoubleTwinSingle?
Need *—Please choose an option—no1 night2 nights pre trip accommodation. ?
Need *—Please choose an option—no1 night2 nights post trip accommodation. ?
Please enter here any special requests, comments, or questions associated with your booking.

Please enter here your estimated arrival and departure time and mode of transport to the start and end point of the trip.

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Payment information

Payment method *—Please choose an option—Credit card (+5%)Paypal (+5%)Bank transfer Japan (all transfer costs paid by principal = customer)Bank transfer Belgium (only within SEPA zone; free)
Currency *—Please choose an option—JPYEUR
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Booking agreement

I have read, understand and agree to the Booking Terms and Conditions and general information for my tour, and I do not have any disability or medical condition that would hinder my full involvement in the tour.
Yes
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