APPLICATION FORM
MENU(
*
)
WHITE WATER RAFTING
LAKE RAFTING
CANYONING
FAMILY RAFTING
YOUR NAME(
*
)
MAIL ADRESS
PHONE NUMBER(
*
)
YOUR ADRESS
countory
adress
DATE (
*
)
Month
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
,DAY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
,TIME
Morning tour
Afternoon tour
HOW MANY?
MALE
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
/FEMALE
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
, CHILDREN(MALE)
0
1
2
3
4
5
6
7
8
9
10
/CHILDREN(FEMALE)
0
1
2
3
4
5
6
7
8
9
10
TOTAL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
more than 21
PLACE YOU STAY THE PRIVIOUS DAY
ACCESS TO THE MEETING PLACE
CAR
TRAIN
MOTOR BIKE
(Details of the car)
car's color, type, number, etc.( For the purpose of meeting.)
QUESTION:
If there is no reply from us in 3 days, please send us e-mail directly.
info@dolphins.gr.jp
FLYING DOLPHINS ADVENTURE SURVICE
Tell&FAX 0167-23-1421 (+81-167-231421)
Simizuyama Greenland, Furano, Hokkaido, Japan