Kumano Kodo - Booking Form

Kumano Kodo Trek 2019

Fill out the following form to secure your place. Date: May 16th - 24th 2019 | Cost: $7,250 ex Kyoto
$500 DISCOUNT ON REGISTRATION FEE AVAILABLE UNTIL 17 DECEMBER 2018
Full Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth

DayMonthYear
Address*

Street Address

Street Address Line 2

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Zip Code
Phone Number

Area CodePhone Number
Mobile Number*
E-mail*
SECURE YOUR POSITION

A $1000 non-refundable registration fee is required to secure your position for this Adventure. Once a deposit is paid, your position is secure and the administrative preparation for your adventure will begin.

THIS REGISTRATION FEE HAS BEEN DISCOUNTED IF YOU SIGN UP BY MONDAY 17 DECEMBER 2018!

If paying by credit card, surcharges apply. Please select what you would like to pay for at this point in addition to the deposit, if relevant.

If paying by EFT, please indicate below and a tax invoice will be emailed to you.
Payment Method*

EFTCredit Card

My Products

Discounted Registration Fee$500.00

Adventure Cost$6,250.00

Subtotal $0.00Tax $0.00Total $0.00

Kumano Kodo Trek 2019