MARRIOTT RIDE - Izu / Shuzenji -
Please submit the form below with the necessary information completed by the representative.
You will receive a confirmation email after the form is submitted.
※Required
[Representative]
Name
※
Last:
First:
Gender
※
Male
Female
Age
※
Passport No.
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PC E-mail Address
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*A mobile phone e-mail address cannot be registered.
PC E-mail Address (for confirmation)
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*Please re-enter to confirm.
Address
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Phone Number
※
*Please do not use symbols such as dash and period
Bike Rental
※
Apply (carbon road bike [BOMA] / 8,000 yen)
Apply (aluminum road bike [CANNONDALE SLATE] / 8,000 yen)
Apply (e-Hybrid bike [YAMAHA] / 8,000 yen)
Not Necessary (will bring a bike)
If applying for Bike Rental: Height
cm or feet/inches
----
cm
feet
inches
Allergies・Medical History・Medication
[Accompanying Person 1]
Name ※
Last:
First:
Gender ※
Male
Female
Age ※
Passport No. ※
PC E-mail Address ※
*A mobile phone e-mail address cannot be registered
PC E-mail Address (for confirmation) ※
*Please re-enter to confirm.
Address ※
Phone Number ※
*Please do not use symbols such as dash and period
Bike Rental ※
Apply (carbon road bike [BOMA] / 8,000 yen)
Apply (aluminum road bike [CANNONDALE SLATE] / 8,000 yen)
Apply (e-Hybrid bike [YAMAHA] / 8,000 yen)
Not Necessary (will bring a bike)
If applying for Bike Rental: Height
cm or feet/inches
----
cm
feet
inches
Allergies・Medical History・Medication
[Accompanying Person 2]
Name ※
Last:
First:
Gender ※
Male
Female
Age ※
Passport No ※
PC E-mail Address ※
*A mobile phone e-mail address cannot be registered
PC E-mail Address (for confirmation) ※
*Please re-enter to confirm.
Address ※
Phone Number ※
*Please do not use symbols such as dash and period
Bike Rental ※
Apply (carbon road bike [BOMA] / 8,000 yen)
Apply (aluminum road bike [CANNONDALE SLATE] / 8,000 yen)
Apply (e-Hybrid bike [YAMAHA] / 8,000 yen)
Not Necessary (will bring a bike)
If applying for Bike Rental: Height
cm or feet/inches
----
cm
feet
inches
Allergies・Medical History・Medication
Questions & Requests
Terms & Conditions
※
All members must agree to the “Bike Tours Terms & Conditions”
Please check the input content. If everything is correct, click the “Input Confirmation Button”