Ikebana International, San Francisco Bay Area Chapter 31
Return to: Ishimoto Tours, Inc., 195 Granville Way, San Francisco, CA 94127-1133.
| Please reserve _____space(s) on The 8th World Ikebana International Convention Tour, March 6 - 23, 2001. |
| Enclosed is payment of $500 (each) for _________ person(s) totaling $_______________ |
| (Please make the check payable to Ishimoto Tours, Inc. Trust Account.) |
| ( )Mr. ( )Mrs. ( ) Ms. Name(s) as in passport: (Please Print Clearly) |
| (1) ______________________________________________________ |
| (2) ______________________________________________________ |
| Address:_____________________________________________________________________ |
| City _________________________________ State __________________ ZIP_____________ |
| Telephone: Day ( ) ________________ Eve ( )_________________ Fax ( )________________ |
| 1. Passport Number___________ Country of issue ______Expiration Date_______ Date of Birth__________ |
| 2. Passport Number___________ Country of issue ______Expiration Date_______ Date of Birth__________ |
| ( ) I wish to share a twin bedded room with ______________________________________. |
| ( ) I wish to pay an additional amount for a single supplement. |
| ( ) I/we would like to join the tour from San Francisco through Japan to San Francisco. |
| ( ) I/we would like to join the tour in Japan from the March 13, Haneda departure and return March 23, to Narita. (No international air travel) |
| ( ) I/we would like to tour only in Kyushu, from Fukuoka airport and returning to Fukuoka airport. (No international or Japan domestic air travel.) |
Note: Each applicant must sign the
responsibility statement set forth below.
The undersigned has read carefully the schedule of activities for this
tour as well as the conditions set forth in the tour brochure and
recognizes and accepts the conditions and any risks therein, including the
refund policy. The undersigned also understands and hereby agrees for and
on behalf of himself, his dependents, heirs, executors, administrators,
and assigns to abide by the conditions set forth under RESPONSIBILITY, and
to release and hold harmless Ikebana International San Francisco Bay Area
Chapter, Ishimoto Tours, Inc. and any of their officers, agents, licensees
or representatives from any and all liability however occurring during any
portion of, or in relation to The 8th World Ikebana International Post
Convention Tour, 2001, March 6 to March 23, 2001.
| Date __________________________ Signature | ___________________________________________ |
| ___________________________________________ |
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