Gold Mine Tour and Gold Leaf Craft Work

Reserve

Please in the form below to register to the activity.
* Required item
* Your personal information below will be used only for application of accident insurance for activities and will not be disclosed for any other purposed.

Activity : ActivityGold Mine Tour & Gold Leaf Craft Work
Date* First-choice* First-choiceDay  Month
Times 9:00 AM 2:00 PM
Second-choice* Second-choiceDay  Month
Times 9:00 AM 2:00 PM
The number of
participants*
Adult &
elementary-school students*
Adult & elementary-school students
Babies &
children under school age*
Babies & children under school age
Food allergies* Does anyone in your group have any food allergies? *
food allergies  Yes No
Allergic to Allergic to
Payment method* Payment method Credit Card : VISA/Mastercard
 Convenience store payment : Lawson, Family Mart etc.
 Paypal
 Bank transfer : Network banking

* Convenience store in Sado Island is not available
* In case of paying in cash, please enter it in the remarks column


Information of Participants

Participant 01
Name*
01 Namee.g. John Smith
―――01 Age* 01 Agee.g. 10
―――01 Gender* 01 Gender
Participant 02
Name
Participant 02 Name
―――02 Age 02 Age
―――02 Gender 参加者(2)性別
Participant 03
Name
03 Name氏名
―――03 Age 03 Age
―――03 Gender 03 Gender


Representative of Participants

Name* Namee.g. John Smith
―――Age* Agee.g. 20
―――Gender* Gender
Phone Number* Phone Numbere.g 0123-45-6789
(Area code - Phone number)
E-mail* E-maile.g. info@sado-kouryu.jp
Address* Address
e.g 394 Kawaharada, Sado, Niigata, Japan
(Street Address, Street Address 2, City, State/Province, Postal/Zip code,
Country)
Contact method Contact method Phone(Japanese only) E-mail


How did you know about this event? How did you know about this event?
Remarks
* If you have more
participants in your
group, please enter
his/her name, age and
gender here
Remarks