受付番号( Office Use)    
                                   
      Application   Form                
                                             
                                day   month   year    
  Fill in the blanks in English, please        Date   /   /      
                                             
Name  Mr.
Ms.
Nationality    
  Phone No.
  Cellphone No.
  Number of Guests    
E-mail     Male     (    ) person(s)
  Female 
(    ) person(s)
 
  Please fill out date and time you request and check () the appropriate boxes.        
Date   day   month                                
    /     Start at                      Finish at              
                                       
Day                                        
    Sun.   Mon.   Tue.    Wed.   Thr.   Fri.   Sat.          
                                       
Meet Guide at                                  
    Yawata Tourist Information House               Other:  
     (in front of Keihan Yawatashi station)   Place:       
Places you would like to visit:                            
                                             
    around Iwashimizu Hachimangu Shrine           inside of  Shrine   Others          
    (our guide)             (by shrine's admission)                      
  Request:                                        
                                             
  Comments:                                        
                                             
                                             
                                             
    Terms of our Guide                            
  All information you provide us will be treated as strictly confidential.              
  We are pleased to provide guide service in  English for Iwashimizu Hachimangu Shrine .
  Please refer to the following terms on the guided tour.                
                                             
  1.  Compensation for our guiding is not necessary.                       
   However any incurred expenses, such as admission fees or transportation costs where necessary,  
   should be met by you. (cable fee is 200 yen per person)                    
  2.  We cannot assume responsibility for any injuries, losses or/and damages.          
  3.  One guide tour may take up to 6 tourists, guiding hours are maximum 3 hours .        
  4. Application of your tour should reach to us  two weeks before  visiting the shrine.        
  5. Two guides will show you around Iwashimizu Hachimangu Shrine.              
    If you want to see inside of the Shrine, please contact with the office of shrine to make reservation.  
                                             
  We hope you enjoy your tour of Yawata City and your travel throughout Japan.    
                                             
                                     Yawata Tourist Guide Association              
                         E-mail: yawataguide2017@yahoo.co.jp          
                               FAX :  075-981-1132                    
                                                                              made in FEB. 2018      
    ガイド事務所使用欄 (Office Use)                            
       受付日 :     年   月   日                  
       受付者名」:     受付者名 :           Tel,Fax,来訪、E-Mail,郵便                                                                            
      実施者名 :     実施者名 :(主)      (副)                                                                             
           連絡日 :      年    月   日     Tel,Fax,来訪、E-Mail,郵便