Provisional booking form
[ Date/Time ]
※This is only provisional, not official reservation
Plan
Price (tax included)
Course
Pier
Request date
Request time
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11
12
13
14
15
16
17
18
19
20
21
：
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00
05
10
15
20
25
30
35
40
45
50
55
Duration
min.
Number of people
people
(approximate number. can be changed afterwards.)
Option, Course, and other requests
[ Customer's Information ]
Group / Company name
Name (representative person)
E-mail address
zip-code
-
Address
Mobile phone number
Phone number
Fax number
Purpose of the cruise
Age group
-
generations
Sending of further DM
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How did you know about us?
(multiple answer possible)
Newspaper
Magazines
TV
Internet
Gurunabi
Others
specific media name：
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