| *Reservation No. |
[e.g.] T - 0123 / S - 9876
Select the part of mark and input the numbers. |
| *Date |
|
| *Boarding time |
hour minute
|
| *Meeting time |
hour minute
|
| *Representative |
Last Name
First Name
|
| *Nationality |
|
| *Address |
|
| *Mobile phone |
|
| *Telephone for Emergency |
Name of emergency contact
Emergency contact phone number
Please register a contact person other than the passenger so that we can reach them reliably in an emergency. |
| *E-mail address |
|
| *Input again for verification |
|
| *The Number of passengers |
Adult / Child
(Ages 3 and up)
Infant
(Under 3 years old) |
| *Course |
Course
|
| *Flight segment |
Departure point
Destination
Destnarion
Only when the Inter-Island Ferry (route"mitsushima") has been canceled, the Zamami-Heliport will become accessible.
|
Passenger
Children over age of 3 are counted as numbers of people as they will occupy the seat.
Infant (under the age of 3) can be on board by sitting on the lap of a responsible adult (1 adult can only take 1 young child at no charge/ Max. 3 young children could be on board for each charter flight)
Infant seat select the same seat with adult.
Total weight (Passengers and luggage) limit is up to 320kg. |
| *Adult / Child 1 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Adult / Child 2 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Adult / Child 3 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Adult / Child 4 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Adult / Child 5 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Infant 1 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Infant 2 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
| *Infant 3 |
Last Name
First Name
Age
years old
Weight
kg
Seat
|
Luggage (carry-on baggage size & weight)
 |
| *Number of luggage |
|
| *Luggage 1
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 2
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 3
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 4
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 5
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 6
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 7
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| *Luggage 8
[Oversized]
Since the total length
of this item exceeds
115cm, we may not be
able to accept it.
|
Luggage type
Depth
cm
Width
cm
Height
cm
Weight
kg |
| Remark |
| Remark |
If your baggage is oversized or unable to be appropriately stowed in the cargo space due to the stowage limitations, it may need to be equipped of using the seat.
Fill in the details of the luggage. (height/width/depth/weight)
|