東京都知事登録旅行業第2-2174号　株式会社ナショナルランド　TEL：03-3431-3001

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Reservation

Date of departure (Tokyo→Chichijima)

date of departure

Date of arrival (Chichijima→Tokyo)

date of arrival

Type of accommodation

type of accommodation

roon with bathroom

without bathroom

only breakfast

breakfast and dinner

without meal

An estimate

an estimate

Ogasawaramaru class (Tokyo→Chichijima)

first choice

second choice

third choice

Ogasawaramaru class (Chichijima→Tokyo)

first choice

second choice

third choice

Number of people

Adult（male）

+ -

Adult（female）

+ -

Student（male）

+ -

Student（female）

+ -

Child（male）

+ -

Child（female）

+ -

Infant

+ -

Personal Information

name

birthday

phone number

country of citizenship

address

email-address

The place where you will stay the day before deperture in Japan

place （ex.Intercontinental Hotel）

phone number

Fellow travelers name and birhday

fellow travelers name

birthday

How did you know National Land?

Message

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　Mail：nationalland@04998.net
　TEL：03-3431-3001（Mon~Fri／10:00～17:00）

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