guntu

JP/EN

Information Form

For your comfortable voyage on guntû,
we would appreciate your cooperation in filling out this form.
Please fill in the required items (*).
In the event that you do not receive an auto-reply email from us, please check your email settings and make sure that they allow for reception of messages from <@guntu.jp>.
About Passenger
Title *
First Name *
Last Name *
Birthday *
Male / Female *
E-mail Address *
E-mail Address (Confirm) *
Country *
Emergency contact information
during your tour *
Full Name

Relationship

Tel

Do you have any food allergies
or any dietary restrictions? *

If yes, please specify.

Are you currently taking
any medications? *

If there are any food-drug interactions, please advice.

About the accompanying passenger
Title *
First Name *
Last Name *
Birthday *
Male / Female *
Country *
Postal code *
Address *
Tel *
E-mail Address *
E-mail Address (Confirm) *
Emergency contact information
during your tour *
Full Name

Relationship

Tel

Do you have any food allergies
or any dietary restrictions? *

If yes, please specify.

Are you currently taking
any medications? *

If there are any food-drug interactions, please advice.

About the personal information handling
Before sending this passenger information form, please read and agree to our privacy policy.