Tour Description – Tour Itinerary – Tour Price – General Info – Reservation Form – Tour Guide – Photos of Past Tours

Quilters’ Express to Japan Tours
Tour #18 "Japan-uary 2009" -- Exact Dates & Prices to be Announced

RESERVATION FORM

Name (in full as in passport) ____________________________________________

Name preferred to be called (if different) ___________________________________

Address  ______________________    __________________   ______      ______
              Street                                        City                                 State          ZIP

Day Tel ( ___ ) ____-_____ Eve Tel ( ___ ) ____-______ Email: _________________

Date of Birth ___/___/___ Occupation__________________________________

In case of emergency during the trip, please notify ____________________________

Tel( ___ ) ____-_________ Relationship to above _________________________

I would like to share a room with ________________________________________

I would prefer a single room at the additional cost as shown: YES _____ NO _____

Would you like us to arrange your flight schedule to Japan? YES ____ NO _____

Or, will you make your own flight plans to/from Narita Airport? YES ____ NO _____

If yes, plan to Arrive 1 / 22 at Tokyo, NARITA and Depart 2 / 1 from Osaka, KANSAI

What is your point of departure? ___________________ Airlines? ______________

 A health statement with your physician’s signature is requested prior to departure. It should be on your physician’s letterhead, showing the date of your recent examination, stating that you are in good health, and listing any current medications, known allergies, and recent or upcoming surgery. This information will be held in confidence and used only in the case of emergency.

Your signature below indicates that you have read, understand, and agree to the terms stated in the brochure, including but not limited to the Reservation and Cancellation policy, and the request for the health statement.

SIGNATURE _______________________________________ DATE _____________

Please return this completed form to Quilters’ Express to Japan along with your deposit of $300.00. Checks should be made out to Japan Travel Bureau USA, Inc. or JTB USA, Inc. For payments by credit card, please follow instructions on the TOUR COST page. ALL correspondence should be directed to Susan Faeder at Quilters' Express to Japan. You will be notified with a letter of acceptance from QETJ and an invoice from JTB. Please use the back of this form for any personal information you wish to provide about yourself such as allergies, dietary restrictions, medications, etc.

Updated March 2008
Japan is Best With Quilters’ Express!
Quilters’ Express to Japan – PO Box 294 Lewisburg, PA 17837 – Tel./Fax: 570-522-7480
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Tour Description – Tour Itinerary – Tour Price – General Info – Reservation Form – Tour Guide – Photos of Past Tours
©2003 - 2008 Quilters' Express to Japan Susan B. Faeder - PO Box 294, Lewisburg, PA 17837 USA 570.522.7480 -- Send us an e-mail