Application Form

Thank you for choosing us.
Your passport information is required to fill in this application form. Please prepare your passport before starting.
Please also send a photocopy of your passport by email or fax later.
 

Your Information

Title　Required
Name in Alphabet　Required
As shown in your passport		 Given:Required
Middle:
Family:Required
Name in Chinese Character
Gender　Required
Date of Birth　Required
Nationality　Required
Current Address　Required Address:
Zip Cord:　〒 -
Phone (Home)　Required - -
FAX (Home) - -
Mobile Phone - -
Affiliation　Required
Department　Required
Job Title　Required
Business Address　Required Address:
Zip Code:　〒 -
Phone (Business)　Required - -
FAX (Business) - -
Email　Required
Emargency Contact in Japan　Required Name:
Relationship:
Phone: - -

 

Passport

Provide your passport information below, and also send the copy of your passport by FAX, Email attachment, or postal mail.

Passport Number
Date of Issue
Date of Expiry
Issuing Authority

 

Special Request

Frequent Flyer Program Carrier:
Number:
Seat Preference
Others

 

International Travel Insurance

We strongly recommend that you purchase travel insurance to cover all aspects of your trip.

International Travel Insurance　Required
To those who choose "I won't purchase insurance from Art Tourist," why?:

 

Privacy Policy

Privacy Policy　Required
Privacy Policy (open a new window)
*All personal information you supply is encrypted via Secure Socket Layer (SSL) technology on our website.