* Fill up the form in English (只用英文輸入)(영어로만 입력가능)

* No refunds and changes! (一旦訂購，不可取消或更改)(교환 또는 환불 불가합니다)

Start Date of Use[*]

(開始使用日)

(사용개시일)
Year:

(年)

Month:

(月)

Day:

(日)

* It can not be purchased on the day of use start date.(購買當日不可使用此套票。)(이용 개시일 당일에는 구입 할 수 없습니다.)
Ticket Type[*]

(通票種類)

(티켓종류)
Flight Information[*]

(航班情報)

(운항정보)

 Date of arrival

(日本到達日)
Month:

(月)

Day:

(日)

Airline/Flight:

(航空公司/航班名)

/
Date of departure

(歸國日)
Month:

(月)

Day:

(日)

Airline/Flight:

(航空公司/航班名)

/
Representative[*]

(代表人)

(대표자)
Name:

(姓名)

* write in full name as it shown in passport (請正確填寫護照上所記載的英文拼寫名)

Sex:

(性別)

Passport Number:

(護照號碼)

Nationality:

(國家或地区名)
Companion 1

(同路人1)

(동반인1)
Name:

(姓名)

* write in full name as it shown in passport (請正確填寫護照上所記載的英文拼寫名)

Sex:

(性別)

Passport Number:

(護照號碼)

Nationality:

(國家或地区名)
Companion 2

(同路人2)

(동반인2)
Name:

(姓名)

* write in full name as it shown in passport (請正確填寫護照上所記載的英文拼寫名)

Sex:

(性別)

Passport Number:

(護照號碼)

Nationality:

(國家或地区名)
Companion 3

(同路人3)

(동반인3)
Name:

(姓名)

* write in full name as it shown in passport (請正確填寫護照上所記載的英文拼寫名)

Sex:

(性別)

Passport Number:

(護照號碼)

Nationality:

(國家或地区名)
Companion 4

(同路人4)

(동반인4)
Name:

(姓名)

* write in full name as it shown in passport (請正確填寫護照上所記載的英文拼寫名)

Sex:

(性別)

Passport Number:

(護照號碼)

Nationality:

(國家或地区名)
Credit Card
Information[*]

(信用卡持卡人信息)

(신용카드 정보)
Type:

(信用卡種類)

Card Number:

(信用卡號碼)

- - -
Date of expiration:

(有效期限)

/

We would like you to answer some questions below. (以下為簡單的問券調查。煩請回答。)

Q1. How did you find "SHORYUDO Highway Bus Ticket" ? (您是從哪裡得知昇龍道高速巴士通票的？)
Q2. Whom do you travel with this time? (您這次是和誰同遊？)
Q3. How many times have you come to Japan? (您是第幾次訪問日本？)
Q4. How many times have you come to Chubu area? (您是第幾次訪問中部？)
Q5. What did bring you to come to Chubu area? (您選擇中部地區的理由或中部地區富有魅力并吸引您的地方。)
Q6. What is the purpose (destination) of your trip this time? (您這次旅行的目的地為？)
Q7. Where will you want to go with "SHORYUDO Highway Bus Ticket" ( excluding current destinations ) ?
(今後此通票若擴大使用區域，以名古屋為出發起始點，您會希望前往哪些地區？)

Thank you for your cooperation. (感謝您的協助。)