Celebrating Osaka - Fall Cultural Tour to Japan 2017
Coordinated by the Japanese Cultural and Community Center of Northern California
Tour Application Form
October 31 – November 10, 2017(return SFO 11/10/17)
Participant A(please include a COPY of your valid passport*)
Name: Mr. Mrs. Ms. / /
(Name as it appears on the passport)(first name) (middle name or initial) (last name)
Home address:
(City)(State)(Zip)
Phone: ( ) E-mail:
Passport No.: Expiration date:
Issuing agency: Country Issuing Passport:
Participant B(please include a COPY of your valid passport*)
Name: Mr. Mrs. Ms. / /
(As it appears on the passport)(first name) (middle name or initial) (last name)
Home address:
(City)(State)(Zip)
Phone: ( ) E-mail:
Passport No.: Expiration date:
Issuing agency: Country Issuing Passport:
I prefer: SINGLE* occupancy DOUBLE* and will room with: ______
(Additional cost for single)
*Due to room configurations/availability, accommodations may be adjusted (TRP/QUAD)on certain nights.
Please check here if you would like to extend* your stay in Tokyo. (2 night maximum)
I would like to return on:11/11 (1 add’l night) 11/12(2 add’l nights)
(Check one–max. 2 night extension. Please note JAL flight departs in/out of Tokyo Haneda Airport)
* Additional flight cost/fee/surcharges(s)may apply. All hotel and flight costs associated with the extended stay will be the responsibility of each participant.
TOUR COST:
The tour cost is approximately $3680.00 based on double occupancy/$3,965.00 single and based on 20 participants. The cost will increase if the group falls below the minimum 20 participants. Price does not include fuel surcharge/taxes–approx. $135.00 as of 7/15/17.
The cost includes roundtrip air (SF-Tokyo) on Japan Airlines,7-day rail pass, most entrance/activity/demonstration fees, 9-night accommodations, daily breakfasts,most lunches,some dinners,luggage transfer and taxes and handling fees.
Cost alsodoes not includedrinks/alcohol at included meals, optional lunches and dinners, personal spending, taxi fare and other expenses not listed above.
Payment Schedule and Cancellation Policy
Payment Schedule
Deposit of $500.00(per person)DUE August 15, 2017with completed application
Payment of $2,000DUE August 31, 2017
Final Payment DUE September 20, 2017
Final tour cost subject to change based on the number of participants AND addition of fuel surcharge and taxes to be included.
Cancellation Policy
On and after August 25, 2017$500.00 (deposit becomes non-refundable)
August 26-September 8, 2017$1,000.00 penalty fee
September 9-21, 2017$2,500.00 penalty fee
September 22 to departure Non-refundable, 100% penalty
Please send deposit of $500 and application form to the JCCCNC.
Payable to: JCCCNC
1840 Sutter Street, San Francisco, CA 94115
If paying by credit card, the tour price will be approx. $3,830.00/$4,125.00per person.(4%)
Please charge my credit card in the amount of $ for ______person(s).
Credit Card: VISA or MASTERCARD (circle one)
Name on Card:
Signature:
Credit Card Number:
Expiration Date: CVC:
ADDITONAL TRAVEL INFORMATION
Please return with your application form
TRAVEL DOCUMENTATION– PASSPORT
Please note that your U.S. Passport must be valid for at least 6 months from the departure date.
Check the box if you are requesting a new/renewed passport.
Date requested: ______
JAPAN AIRLINES FREQUENT FLYER NUMBER
Check the box if you have a JAL Mileage Program Number
My JAL Mileage # is: ______
SPECIAL RESTRICTIONS and REQUIREMENTS(please list below)
Dietary(allergies): ______
Health: ______
(physical limitations/essential medication)
I am able to walk with no assistance. Please note: this tour will not require an extensive amount of walking as a charter bus will be used for the duration of the trip while in the Tohoku Region.
Other: ______
TRAVEL INSURANCE (optional)
We recommend that you have some type of travel insurance for this trip. If you are interested in travel insurance, we can provide information or make a referral. (Note: in some cases charging on your credit card and AAA carries certain travel insurance coverage; inquire with your card company.)
Kintetsu International Express referral: Travel Insured International
Travel Insured International website:
Rates vary based on coverage, length of stay and age. Please confirm with Travel Insured International, the date you will need purchase insurance by to be eligible for coverage.
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JCCCNC Cultural Groups Tour-Application – Form 1A