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お問合せ | 三喜トラベルサービス(三喜ICIC) 医学・薬学・歯学・看護等の学会出席旅行と学会情報検索

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開催日:
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1970年01月01日(
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木)〜
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1970年01月01日(
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木)
開催地:( )
  • 情報入力
  • 入力内容確認
  • 送信完了



日本出発日
 年   月   日
日本到着日
 年   月   日

※ご渡航先によっては、日本到着日と現地出発日が異なる場合がございます。

現地用務終了日
 年   月   日
出発地

※その他空港出発ご希望の場合は下記要望欄にご記入ください。

参加人数
大人  名  子供  名  幼児   名

※子供:出発日の年齢が2歳以上12歳未満、幼児:出発日の年齢が2歳未満

代表者氏名 (漢字)
代表者氏名 (ローマ字)

(パスポートと同じつづりで入力してください)

性別
  
所属先 都道府県
郵便番号
 - 
所属先住所 (市町村以下)
所属先
所属部署
メールアドレス
メールアドレス (確認)
連絡先電話番号
- -

※日中に連絡が取れる電話番号をご記入ください。

希望航空会社
座席のご希望クラス




ご希望のホテルクラス
部屋タイプ
同行者1 氏名ローマ字 (パスポートと同じつづりで入力してください)

  
同行者 2氏名ローマ字 (パスポートと同じつづりで入力してください)

  
同行者3 氏名ローマ字 (パスポートと同じつづりで入力してください)

  
同行者4 氏名ローマ字 (パスポートと同じつづりで入力してください)

  
同行者5 氏名ローマ字 (パスポートと同じつづりで入力してください)

  
今回どのようにして当社をお知りになられましたか?

 
 
 
ご要望など
ご旅行に関するご希望などご記入ください(例:学会場から徒歩圏内のホテル希望、空港~ホテル間の送迎を付けたい、〇〇航空会社の会員である、など)

※航空会社のマイレージカード・ホテル・発着地等のご希望などをご記入ください