Happy Gay Travel - Tour Reservations

PASSENGER INFORMATION

FIRST PASSENGER INFORMATION

Gender *

Name *

Middle name

Surname *

Home Address *

House no./Name *

Postal / ZIP Code *

City *

State

Country *

Citizenship *

Phone *

Mobile

Fax

E-mail *

Date of Birth *

Smoker? *

Yes

T-Shirt size: *

SECOND PASSENGER INFORMATION

Gender

Name

Middle name

Surname

Home Address

House no./Name

Postal / ZIP Code

City

State

Country

Citizenship

Phone

Mobile

Fax

E-mail

Date of Birth

Smoker?

Yes

T-Shirt size:

TOUR INFORMATION

I wish to attend the *

Tour price is *

per person

TRAVELING SINGLE?

I request single accommodations. (A single supplement may apply.)

I would like Happy Gay Travel and the tour operator to find me a share if possible. (No Guarantee)

ADDITIONAL INFORMATION

Please tell us if we should know anything about you including dietary needs, etc.

PAYMENT INFORMATION *

I am paying by credit card. My credit card will be billed deposit or full payment .* (E-mail will be sent with confirmation.)

I am paying by bank transfer. My credit card is for guaranty only.* (E-mail will be sent with confirmation.)

PASSENGER CREDIT CARD 1

Credit Card Number: *

Expiration Date: *

CVC Number: *

Card type: *

Visa

MasterCard

AmericanExpress

Other

Withdrawl Amount For This Card:

I am authorizing Happy Travel Ltd and the tour operator to automatically charge deposits, service fee's, payments, insurance (if applicable), flight payments (if applicable) and cancellation fees to my credit card in accordance with the payment schedule and cancellation policy.

Card Holders Name: *

Date: *

PASSENGER CREDIT CARD 2

Credit Card Number:

Expiration Date:

CVC Number:

Card type: *

Visa

MasterCard

AmericanExpress

Other

Withdrawl Amount For This Card:

Card Holders Name:

Date:

DEPOSITS AND FINAL PAYMENT SCHEDULE PER PERSON

This tour is operated by Go! Gay Japan. A deposit must accompany this reservation in order to confirm your tour. Full payment is due on date stated in tours reservation terms. If you are paying by credit card, your card will be charged automatically on the days specified. Payment card processing fees may apply.

CANCELLATION / TRANSFER FEES per person - Go! Gay Japan

Once booking is confirmed the trip is non-refundable and no amendments can be made due to external booking conditions.

AIRLINE FLIGHT RESERVATIONS*

Arrange my flights *

No, I will arrange my own flights. (If checked, ignore rest of Airline Flight Reservations section)

Yes please send me a quote for airfare: (Leave blank if not applicable)

Economy Class

Business Class

First Class

Departure Date:

Departure Time:

Return Date:

Return Time:

* Please note that Happy Gay Travel and the tour operator assume no responsibility for passengers arranging their own flights. *

OTHER SERVICES AND RESERVATIONS

Please tell us if you need hotel reservations, car rental, transfer, etc.

TERMS AND CONDITIONS - Go! Gay Japan and Happy Gay Travel*

I agree to the tour operator (Go! Gay Japan) Terms and Conditions *

I agree to Happy Gay Travel Terms & Conditions.

SIGNATURE / AUTHORIZATION*

I verify that I am at least 18 years of age. I have read the above terms and conditions and acknowledge I have been offered travel insurance.

Passenger 1 *

Date *

Passenger 2

Date

EXTRA INFORMATION*

Where did you hear about us? *

Comments Box

NOTE: Your reservation isn't confirmed until we have provided you with a booking number by phone, e-mail, or fax.

* = Input is required