Desired date :

Your personal information:

Mr. Mrs/Ms.   First name (by English spell) :    Last name (by English spell) :
Nationality : -- select one -- Afghan Albanian Algerian American Andorran Angolan Antiguans Argentinean Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Barbudans Batswana Belarusian Belgian Belizean Beninese Bhutanese Bolivian Bosnian Brazilian British Bruneian Bulgarian Burkinabe Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean Chinese Colombian Comoran Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Djibouti Dominican Dutch East Timorese Ecuadorean Egyptian Emirian Equatorial Guinean Eritrean Estonian Ethiopian Fijian Filipino Finnish French Gabonese Gambian Georgian German Ghanaian Greek Grenadian Guatemalan Guinea-Bissauan Guinean Guyanese Haitian Herzegovinian Honduran Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakhstani Kenyan Kittian and Nevisian Kuwaiti Kyrgyz Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Luxembourger Macedonian Malagasy Malawian Malaysian Maldivan Malian Maltese Marshallese Mauritanian Mauritian Mexican Micronesian Moldovan Monacan Mongolian Moroccan Mosotho Motswana Mozambican Namibian Nauruan Nepalese New Zealander Ni-Vanuatu Nicaraguan Nigerien North Korean Northern Irish Norwegian Omani Pakistani Palauan Panamanian Papua New Guinean Paraguayan Peruvian Polish Portuguese Qatari Romanian Russian Rwandan Saint Lucian Salvadoran Samoan San Marinese Sao Tomean Saudi Scottish Senegalese Serbian Seychellois Sierra Leonean Singaporean Slovakian Slovenian Solomon Islander Somali South African South Korean Spanish Sri Lankan Sudanese Surinamer Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian or Tobagonian Tunisian Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Welsh Yemenite Zambian Zimbabwean       Passport number : Home phone number :
E-mail address :
Cell number while in Japan (if you have one) :

Number of guests and Cost:

No. of people		Charge per person	Amount
Adults (12 and older)	0 1 2 3 4 5 6 7 8 9 10	JPY 12,000.00 (Cruise fee, dinner, and unlimited drinks, tax included)	JPY
Children (6 to 11 years old)	0 1 2 3 4 5 6 7 8 9 10	JPY 7,260.00 (Cruise fee, dinner, and unlimited drinks, tax included)	JPY
Pre-school children (3 to 5 years old)	0 1 2 3 4 5 6 7 8 9 10	JPY 2,200.00 (Cruise fee, and unlimited drinks, tax included)	JPY
Infants (Under 3)	0 1 2 3 4 5 6 7 8 9 10	No charge	JPY
		Total amount :	JPY

Accommodation in Tokyo:

Hotel/Accommodation name :
Address :        Phone number :
Check-in date :

The others (questions and requests etc.) :

Directions to jetty:   Nakakin

Address:  1-1-17 Higashi-shinagawa Shinagawa-ku, Tokyo It is located about a 10 minutes walk from JR Shinagawa Station or a few minutes walk from Keikyu-line Kita-shinagawa St. But the railway crossing is very busy, so please allow an extra 15 minutes for travel time.