Booking request form for 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) 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 Which type of delivery method would you like? Pick up from Huckleberry Express post Courier ! 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 Please enter any special requests Thank you for your interest in Huckleberry Tours. We will contact you within 2 working days.