Application Form -EBESA Snow Monkey Town Yamanouchi

If you would like to make a reservation or request more information please fill in the appropriate fields below.
(Fields marked * are required.)

* Name:
* Age:
* Gender: Male   Female
* Email Address:
* Country or Nationality:
* Zip code/Post code:
* Address:
* Contact phone number:
Remarks:
Required to be written in English (or alphabetical letters)
* Tour Name:
* Dates:
* Number of participants:
* Accomodation in Japan:
Undecided.I'll contact you as soon as I know.
* Contact number in Japan:
Undecided.I'll contact you as soon as I know.
* Duration of stay in Japan: Visiting Japan
to

Living in Japan
* Duration of stay in Yamanouchi Town: to
Please inform us.
* 1:Are any of you allergic to food or have any restrictions?
Necessary info.
For following activities that involve eating:Local food, Japanese food in Senju-Kaku,Tea Ceremony,Soba,Ski or Snowbord.
Yes      No
* 2:Do you mind if there is a media coverage on the activity you will be participating?
Yes   No
* 3:In the case the activity decides not to run on the date you requested,may we suggest other dates that will be available while your stay?
Yes   No

For cancellation on the day or on the day before, or cancellation without notice, the cancellation fees shown below will be charged.
Cancellation on the day before the program: 20% of the program participation fee
Cancellation on the day, or without notice: 100% of the program participation fee