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 RequiredAddress:
Zip Cord:  -
Phone (Home) Required - -
FAX (Home) - -
Mobile Phone - -
Affiliation Required
Department Required
Job Title Required
Business Address RequiredAddress:
Zip Code:  -
Phone (Business) Required - -
FAX (Business) - -
Email Required

 

Emergency Contact in Japan

Please provide contact information in Japan in case of emergency during your trip.

Emergency Contact in Japan RequiredName:
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 ProgramCarrier:
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.