Air Ticket + JR Pass Pre-booking and Quotation Form Please choose / Pre-Booking or Quotation Please enter number of your group. / Adult Child Please enter your personal details. Customer 1 / First Middle Family Age Sex Sex Male Female Customer 2 / First Middle Family Age Sex Sex Male Female Customer 3 / First Middle Family Age Sex Sex Male Female Customer 4 / First Middle Family Age Sex Sex Male Female Customer 5 / First Middle Family Age Sex Sex Male Female Contact details for Customer 1 Street address Suburb State State NSW VIC QLD SA WA ACT TAS NT Other Post code Country Australia Other E-mail address Confirm E-mail TEL 1 Mobile Home Work / TEL 2 Mobile Home Work About Air Ticket Which type of ticket would you like? One-way Return Which Airline would you like? Any Japan Airline QANTAS JET STAR Korean Air Singapore Airline Which fare sheet number would you like? Please enter your preferred departure date Date 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 Month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Year 2009 2010 2011 2012 Which airport woud you like to depart? Choose City Sydney Melbourne Brisbane Gold Coast Adelaide Perth Darwin Which airport woud you like to travel to? Choose Airport Narita (Tokyo) Kansai (Osaka) Chitose (Hokkaido) Nagoya Fukuoka Okinawa Please enter your preferred return date Date 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 Month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Year 2009 2010 2011 2012 Which airport woud you like to depart from? Choose Airport Narita (Tokyo) Kansai (Osaka) Chitose (Hokkaido) Nagoya Fukuoka Okinawa Which airport woud you like to return to? Choose City Sydney Melbourne Brisbane Gold Coast Adelaide Perth Darwin About JR Pass Please select your JR Pass type Select type All Japan Rail Pass JR East Pass JR West Pass JR Hokkaido Pass JR Kyusyu Pass Days 3 Days 4 Days 5 Days 7 Days 14 Days 21 Days Class Economy Green (First Class) !!IMPORTANT !!! Please not that JR Pass is vaild 3 month from date of issue. Date of departure from australia. Date 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 Month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Year 2009 2010 2011 2012 Which type of delivery method would you like? Pick up from Huckleberry Express post Courier Please enter any special requests Thank you for your interest in Huckleberry Tours. We will contact you within 2 working days.