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Index  > Tours  > Rail Packages  > Takayama  > JR Rail Reservation Form

Nozomi train schedule

Rail+Hotel Packages

Application form

Select purpose Questions   Quotation   Application
Selected Plan
Departing City
Departure Date Preferred train
Return Date Preferred train
Please fill in all fields marked by an *asterisk
Applicant's particulars
Name* First name
Last name
Age / Gender*    Male Female
Address* Street name
City and state
- Zip code
E-Mail*
Please re-type your email
Contact number* - - Home number
- - Mobile number
Guests/Passengers infomation
Total number of passengers
Adult   Children   Infants (0-3yrs)
Adult 1 Name Age M F
Adult 2 Name Age M F
Adult 3 Name Age M F
Adult 4 Name Age M F
Adult 5 Name Age M F
Adult 6 Name Age M F
Adult 7 Name Age M F
Adult 8 Name Age M F
Adult 9 Name Age M F
Child 1 Name Age M F
Child 2 Name Age M F
Child 3 Name Age M F
Child 4 Name Age M F
Child 5 Name Age M F
Child 6 Name Age M F
Inf 1 Name Age M F
Inf 2 Name Age M F
Inf 3 Name Age M F
Include transfer & sightseeing Total number of baggage Request for child safety seat
Yes No
Large Small Child use Infant use
Date/Arrival Information dd.mm.yyyy   (e.g.NH902)  
Pick up location (e.g. Narita Terminal 1)   Time
Address Building name
Street name
- 〒 Postal Code
Hotel address/
mailing address in Japan
Building name
Street name
- 〒 Postal Code
Preferred delivery time
A local mailing address is required so that we can mail the itinerary/voucher/train tickets.
Please also note that some Shinkansen package are available to overseas visitors only.
Preferred payment method
Credit Card   Using bank transfer
Credit card type / number   - - -
Name on card / expiry Mth/Yr (mm/yyyy) /
Card verification value *Last 3 digits of your pin code on the reverse side of your card.
Bank details Bank name: Bank of Tokyo-Mitsubishi UFJ
Account number: 0046641 (ordinary account)
Branch: Hamamatsucho Branch (branch code: 558)
Benificiary name: Travel Pal Co Ltd
Swift code: BOTKJPJT
Please note that it is the payee's responsibility to cover all bank surcharges.
As there is a clearance period of around 3-5 days before the payment can be verified, all last minute bookings are only accepted through payment using credit card.
Any special requirements or message:




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