Hongwanji Accession Ceremony Tracing the Steps of Shinran Shonin March 29 th to April 7 th, 2017

Similar documents
Tour fee: 1,980. (single supplement: 300. schedul

Year of Mercy Holy Land Pilgrimage Catholic Biblical School - May 25 th June 4 th, 2016

Summer China Trip Beijing, Shanghai / Suzhou, Xian June 10-20, 2016 (11 Days)

Terms & Conditions BOOKING FORM

2015 China Heritage Summer Tour

SAMPLE TOUR HIGH SCHOOL MARCHING BAND & CONCERT BAND

TRAVEL. Havana, Santa Clara, and Cienfuegos, Cuba. Trip 1 January 27 February 3, New York, NY TheJewishMuseum.org.

FUNJET - Complete Coverage: Cancel For Any Reason & Price Protection

JCI WORLD CONGRESS 2015

RUSSIA FISHING GROUP VISA, AIR TICKETS, INSURANCE INSTRUCTIONS (2008)

Select travelinsuranceselect.com

Realmadrid Foundation AND Donosti Cup Training Program

Volunteer Abroad Cape Town, South Africa 2013 Cover letter

SINGAPORE MALAYSIA 5 NIGHTS/ 6 DAYS

Vimy 2017: In Their Footsteps

Trip Fact. Total Duration: 11 Days

Magical Lake Garda Italy

Vienna, Prague, Bratislava and Budapest Tour

W-H Europe Trip 2016 Germany, Austria, and Poland

BMO Travel Insurance. Annual and Single Trip Travel Medical Single Trip Trip Protection

E D M O N T O N ADMINISTRATIVE PROCEDURE

~ 2015 KUNG FU CHINA TRAINING TOUR ~

Santa Barbara City College presents. Spanish Immersion Program in San Sebastian, Spain. July 4- August 1, 2015

Thailand - Bangkok and Phuket Pre/post meeting trip

International Workshop of Prosecco and Rosè Wines San Pietro di Feletto (Treviso), 8th 9th July 2016

NEW ITINERARY FROM HEENA TOURS & TRAVELS PHUKET PATTAYA BANGKOK - 8 NIGHTS / 09 DAYS

Congratulations on qualifying for the 2016 Annual Sales Convention at Fiesta Americana Grand Coral Beach Resort and Spa in Cancun, Mexico!

Education in Finland and Sweden An EF/PDK Professional Development Tour

FAQ and REGISTRATION INFORMATION for STUDENTS: MFA SUMMER RESIDENCY 2016

INVITATION. Dear Snowboard Nations,

Phuket/Krabi/ Pattaya/Bangkok 09 nights/10 days

SAINT JOHN S ABBEY TOUR OF INDOCHINA. 22-Day (20-Night) Indochina's Ever Changing Faces October 29-November 19, 2016 $6,150

2016 Polio Immunization Program Delhi, Agra and Jaipur, India

Pricing Per Person Breakdown:

High-Speed Rail Journey to Japan

Calling for Participants!

TRAVEL INSURANCE CLAIM FORM

INVITATION FIA EUROPEAN TRAFFIC EDUCATION CONTEST (ETEC) 5 7 SEPTEMBER 2014 LILLESTRØM, NORWAY

Funjet All-In-One Travel Protection Plan

International Travel Medical Insurance

Des Moines Area Community College London Program Spring Semester 2016

FOOD FOCUS: QUEBEC WITH LORI CHISHOLM October 13-18, 2016

PURPOSE The mission of the Rotary International Travel Service (RITS) is to provide safe, cost-effective travel services to Rotary funded travelers.

Terms & Conditions of Booking

2015 CORPORATE RATE AGREEMENT

Plein Air Painting & Sketching in CRETE, GREECE

ARMA HOUSTON TRAVEL EXPENSE GUIDELINES

Hong Kong & Macau in Depth

01 November 2015 Arrival Srinagar & Shikara Ride 10 Kilometer Minutes approx

Presents Best of China Trips!

BULGARIAN FENCING FEDERATION

Pricing Per Person Breakdown:

Iwakuni from Narita International Airport

SMS Travel Guide. All international, out-of-state, and in-state travel with an overnight stay needs to be requested through My ASU TRIP.

Expense Reports for Reimbursement

Zurich Travel Assist. A familiar standard of care in an unfamiliar place

Inspiring environmental learning

Enchanting Emirates: Abu Dhabi & Dubai Private Journey

Travel & Accommodation Arrangements

Bavarian Soccer Club Boys U13. Madrid, SPAIN

Corporate Travel Policy. Proposed January 30, 2010

INDIVIDUAL TRAVEL PLANS

FRA. Comfort. Services. More Freedom, more Time, more Holidays

PRESIDENTIAL SCHOLARSHIP WEEKEND

Zurich Travel Assist. A familiar standard of care in an unfamiliar place

On a Private Tour of Greece. Athens Mykonos Santorini Rhodes Crete 15 DAYS ITINERARY

ACCOMMODATION FORM. Distance to the Symposium Venue

2016 KUNG FU CHINA TOUR

Honeymoon of YOUR Dreams!

Yale. Educational Travel. Best of Ontario

Joshibi International Summer School 2016: Tokyo

CHALLENGER WORLD TOURS (CWT)

Summer Promotion: Book before 30 Sep 2013 to enjoy the following offers! **Terms & conditions apply. Adult 24,450 26,560 30,780 35,000 33,420

INTERNATIONAL POLICE ASSOCIATION CYPRUS SECTION INTERNATIONAL YOUTH GATHERING 1 15 JULY 2007

Bikecat s Terms and Conditions

Memorial University of Newfoundland Travel Regents Policy

Compensatory Time Off for Travel

VANCOUVER & BRITISH COLUMBIA

Journey to Georgia Meet local Georgian community members, fellow American Friends of Georgia members, and guests from the expat community in Georgia

CROSSING LANGUAGE BARRIERS Malta Application Form & Price List 2014 We Do Things Differently 330 Centres Worldwide

Measuring the University s Performance: Data for Decisions Practical Information

INVITATION TRAMPOLINE CAMP & COMPETITION

Iconic Aegean. October 24 - November 1, 2014

THE SUN S RIO 2016 PROMOTION FREQUENTLY ASKED QUESTIONS

C R O S S I N G L A N G U A G E B A R R I E R S. Application Form & Price List We Make It Simple.

FEDERATION FRANCAISE DE LUTTE French Wrestling Federation

An initial non-refundable deposit of $99.00 per person is required when you sign up. You must sign up and register by 9/15/15.

VIP-Reiser Cambodia 4 Days Beach Extension Kep & Sihanoukville Phnom Penh - Kep Sihanoukville - Phnom Penh

Zurich Travel Assist. A familiar standard of care in an unfamiliar place

THE GOTHIA CUP SWEDEN JULY 14 TH JULY 22 ND 2007

Summer in Madrid, Spain

INSURANCE CLAIM FORM

Tours for schools & clubs QUOTATION

Durgan Travel Service presents. 9 Days/7 Nights NAPLES, POMPEII, CAPRI, AMALFI DRIVE & MONTECASSINO ALL MEALS INCLUDED! 12, 2016

State of New York Office of the State Comptroller Travel Manual. Prepared by: Division of Contracts and Expenditures Bureau of State Expenditures

Campus Specific Information JSA Summer School at Stanford University

University Students Council of the University of Western Ontario TRAVEL POLICY

Simply Thailand 5N/6D (Winter) Package Starts from* 35, Nights / 6 Days - winter

TRIP TERMS AND CONDITIONS

Glossary of Hospitality/Tourism Terms

Transcription:

Hongwanji Accession Ceremony Tracing the Steps of Shinran Shonin March 29 th to April 7 th, 2017 Day 1 March 29 th Honolulu to Kansai International Airport Check-in Assistance at Honolulu International Airport from JTB USA Staff Depart Honolulu for Kansai International Airport on flight TBD Day 2 March 30 th Kansai Airport to Kyoto Arrive at Kansai International Airport Proceed through customs and immigration procedures Meet English Speaking Assistant in Arrival Lobby Depart Airport for Kyoto by chartered coach Arrive at Hotel in Kyoto; Check-in Dinner is on own Kyoto Accommodations Rihga Royal Hotel Kyoto 1 Taimatsu-cho, Shiokoji-sagaru, Higashi Horikawa-dori, Shimyogo-ku, Kyoto 600-8237 Phone: +81(75)341-1121 Fax: +81(75)341-3073 Day 3 March 31 st Kyoto Dento Hokoku Hoyo Sanpai (Breakfast, Dinner) Daytime Participate in the Dento Hokoku Hoyo at Nishi Hongwanji Lunch to be provided by Honzan Enjoy Dinner at Local Restaurant Day 4 April 1 st Kyoto Sightseeing (Breakfast, Lunch) 8:00 Depart Hotel for Sightseeing by chartered coach with English Speaking Guide 8:20 Maruyama Park (Shidare Sakura) 9:00 Chion-in (9:00 9:50) 10:00 Shoren-in (10:00 10:40) 10:50 Otani Hombyo (10:50 11:30) 12:00 Lunch and Free time in Arashiyama (12:00 14:00) 14:30 Kyoto Imperial Palace (14:30 15:30) 16:30 Return to Hotel; Free time in the evening Dinner on own Day 5 April 2 nd Kyoto to Takayama Sightseeing (Breakfast, Lunch, Dinner) Prepare Luggage for Transfer by Truck; will be shipped to Takayama separately 8:15 Depart Hotel on foot for Kyoto Station with English Speaking Guide 8:53 Depart Kyoto Station for Nagoya on Bullet Train (TBD) 9:30 Arrive in Nagoya, Change Trains

9:39 Depart Nagoya Station for Takayama on Bullet Train (TBD) 12:15 Arrive in Takayama 12:30 Lunch in Takayama; Free time in Takayama Old Town (12:30 14:30) 14:40 Hida Kokubunji (14:40 15:10) 15:40 Hida Limestone Cave (15:40 16:30) 17:00 Arrive at Hotel, Check-in Enjoy Dinner at Hotel Takayama Accommodations Hotel Associa Takayama Resort 1134, Echigo-cho, Takayama-shi, Gifu, 506-0033, Japan Phone: +81-577-36-0001 Day 6 April 3 rd Takayama to Kanazawa Sightseeing (Breakfast, Lunch, Dinner) 8:30 Depart for Kanazawa by chartered coach with English Speaking Guide 9:00 Miyagawa Asaichi Morning Marketplace (9:00 9:40) 11:00 Lunch and free time at Shirakawago (11:00 13:00) 14:00 Kanazawa Kenrokuen Garden (14:00 14:50) 15:10 Arrive at Hotel, Check-in 17:30 Depart Hotel for Higashi Chaya-machi (17:45 18:15) 18:30 Dinner at Local restaurant (18:30 20:00) 20:30 Arrive at Hotel Kanazawa Accommodations Kanazawa Miyako Hotel 6-10, Konohana-machi, Kanazawa, Ishikawa 920-0852, Japan Phone: +81-76-261-2111 Fax: +81-76-261-2113 Day 7 April 4 th Kanazawa to Akakura Onsen Sightseeing (Breakfast, Lunch, Dinner) Prepare an overnight bag for Akakura, Large luggage items will be trucked to Tokyo 8:00 Depart Hotel with English Speaking Guide 8:20 Depart Kanazawa Station for Joetsu Myoko on Bullet Train (TBD) 9:23 Arrive in Jouetsu Myoko, Depart for Sightseeing 10:10 Kotagahama (10:10 10:40) 10:50 Gochi Kokubunji Temple (10:50 11:30) 11:40 Kokufu Betsu-in (11:40 12:20) 12:30 Lunch in Naoetsu (12:30 13:30) 14:00 Eshin no Sato Museum (15:00) 16:00 Arrive at Hotel in Akakura, Check-in Enjoy Dinner at Hotel Akakura Onsen Accommodations Akakura Hotel 846 Akakura, Myoko, Niigata, 949-2111 Japan Phone: 0255 87 2100

Day 8 April 5 th Akakura Onsen to Tokyo Sightseeing (Breakfast, Lunch, Dinner) 10:00 Depart Akakura Onsen for Nagano by chartered coach with English Speaking Guide 11:00 Arrive in Nagano; Visit to Zenkoji & Free time 12:30 Lunch in Nagano (12:30 13:30) 13:59 Depart Nagano Station for Tokyo on Bullet Train (TBD) 15:28 Arrive in Tokyo; Transfer to Hotel by chartered coach 16:00 Arrive at Hotel, Check-in, Relax Enjoy Dinner at Local Restaurant Tokyo Accommodations Royal Park Hotel (TBD) 2-1-1 Nihonbashi-Kakigara-cho, Chuo-ku, Tokyo 103-8520, Japan Phone: 81-3-3667-1111 Day 9 April 6 th Tokyo Sightseeing (Breakfast, Lunch) 8:30 Depart for Sightseeing by chartered coach with English Speaking Guide 9:00 Tokyo Sky Tree (9:00 10:00) 10:15 Senso-ji and Free time in the Nakamise Area (10:15 11:30) 11:45 Free time and Lunch at Tsukiji Market (11:45 13:00) 13:10 Tsukiji Betsuin (13:10 14:00) Option #1: Return to Hotel, Free time at Leisure (arrive at hotel 14:30) Option #2: Shopping (arrive at hotel 17:00) Dinner on own Day 10 April 7 th Tokyo Free Time, Return to Honolulu (Breakfast) Morning free to Enjoy at Leisure Depart Hotel for Narita or Haneda Airport Depart on flight TBD ============================================================================== Arrive in Honolulu All above arrangements are subject to confirmation upon official booking request Price of land arrangement for 20 to 25 total participants: $2,923.00 Per Person Price of land arrangement for 26 to 34 total participants: $2,771.00 Per Person Price of land arrangement for 35 to 44 total participants: $2,555.00 Per Person Price of land arrangement for 45 to 60 total participants: $2,817.00 Per Person *Quotation above valid as of December 17 th, 2015 *Quotation based on double occupancy; Additional Charge of $800.00 for Single Occupancy *Current quotation calculated at an exchange rate of 118 Japanese Yen to $1.00 US *Prices are subject to change including but not limited to the scheduled consumption tax increase in 2017 or currency conversion rates *Airfare will be informed after Monday, May 23 rd, 2016.

Shirakawago Kotagahama Gochi Kokubunji Kokufu Betsuin Kanazawa Echigo Nagano Takayama Takayama Zenkoji Tokyo Otani Hombyo Kyoto Nishi Hongwan-ji Senso-ji Tsukiji Betsuin Shoren-in Chion-in

Overview of Package Contents Please note that Round-trip airfare from Honolulu to Japan is not included at this time Accommodations at the Rihga Royal Hotel Kyoto (3 Nights in Kyoto), Hotel Associa Takayama Resort (1 Night in Takayama), Kanazawa Miyako Hotel (1 Night in Kanazawa), Akakura Hotel (1 Night in Akakura Onsen) and the Royal Park Hotel <TBA>(2 Nights in Tokyo). Chartered Bus Transportation on March 30 th (Kansai Airport to Hotel in Kyoto), March 31 st (Round trip Hotel and Restaurant for dinner), April 1st (Full day Sightseeing in Kyoto), April 2 nd (Sightseeing in Takayama, Dropping off at Hotel), April 3 rd (Sightseeing from Takayama to Kanazawa), April 4 th (Sightseeing from Joetsu Myoko to Akakura Onsen), April 5 th (Transportation to Nagano with Sightseeing, Transportation to Hotel in Tokyo), April 6 th (Full day Sightseeing in Tokyo) and April 7 th (Transportation to either Narita airport or Haneda airport) English Speaking guides from March 30 th to April 7 th Luggage truck for March 30 th (Airport to Hotel), April 3 rd (Takayama to Kanazawa), April 7 th (Hotel to Airport) for in case of over 26 participants. Baggage Handling on April 2 nd (Hotel in Kyoto to Hotel in Takayama) and April 4 th (Hotel in Kanazawa to Hotel in Tokyo) Daily Breakfast, 6 Lunches (April 1 st through April 6 th ), 5 Dinners (March 31 st, April 2 nd though April 5 th ) Admission fees to: Chion-in (April 1 st ), Shoren-in (April 1 st ), Hida Limestone Cave (April 2 nd ), Kanazawa Kenrokuen Garden (April 3 rd ) and Tokyo Sky Tree (April 6 th ) Japan Rail Train Tickets: From Kyoto to Nagoya on Nozomi and from Nagoya to Takayama on Hida (April 2 nd ), From Kanazawa to Joetsu Myoko on Hakutaka (April 4 th ) and from Nagano to Tokyo on Hakutaka (April 5 th ) Cancellations/Changes Tour Terms and Conditions Cancellation/deviation/change due to natural disaster, weather, war, civil unrest and order of government or immigration regulations applies regular rules below. JTB USA, Inc will make all possible efforts to minimize the penalty. If situations occur during the trip, any extra cost for additional arrangements will be the group participant's responsibility. If any changes will be needed, please contact Minako Sugiyama ASAP. A non-refundable deposit per traveler of $300 will be required by August 31st, 2016. Full payment of all tour cost will be required by Friday, December 16 th, 2016 (Initial deposit and airfare are nonrefundable) Cancellations after deposit payment will be subject to the following cancellation terms * 100 days or more prior to the departure day $300 deposit * 99 to 66 days prior to the departure day.30% of the total fee * 65 to 35 days prior to the departure day 50% of the total fee * 34 to 7 days prior to the departure day.80% of the total fee * Within 6 days from the departure day 100% of the total fee

HONGWANJI ACCESSION CEREMONY TRACING THE STEPS OF SHINRAN SHONIN MARCH 29 th (Wed) ~ APRIL 7 th (Fri), 2017 *** JTB USA, Inc ~ TOUR APPLICATION *** PLEASE PRINT CLEARLY AND COMPLETE APPLICATION FORM ** NAME ON FORM MUST MATCH THE NAME ON YOUR PASSPORT ** ** PASSPORT MUST BE VALID AT LEAST 6 MONTHS BEYOND THE DATE OF TOUR ** Please submit a passport copy along with your application 1. MR., MS., MRS. / / Last Name First Name Middle Name (Please circle one). Date of Birth (MM/DD/YY) Passport Number Expiration Date (MM / DD / YY) Mileage number 2. MR., MS., MRS. / / Last Name First Name Middle Name (Please circle one). Date of Birth (MM/DD/YY) Passport Number Expiration Date (MM / DD / YY) Mileage number * Travel Insurance available for optional purchase prior to departure. Please fill out the following form and submit with your application. *All other information (address, contact information, travel preferences, etc.) will be shared with Honpa Hongwanji Mission. Please complete the separate Accession Ceremony Registration form in addition to this form. Special request / Notes - CUSTOMER S ACKNOWLEDGEMENT I certify that I have read the Tour s Terms and Conditions and agree to abide by them Signature: Date:

Optional Travel Insurance Yes, I am Interested in purchasing Travel Insurance! Please Select One of the Following: A minimum of 10 people are Group Insurance with no Trip Cancellation Coverage: $21 Per Person required to secure a group Trip Interruption: Up to $500 Return Airfare insurance rate. If less than 10 Trip Delay 6 hours: $750 ($150/day) people request insurance, Missed Connection 3 hours: $500 they will have to create Baggage/Personal Effects: $1,500 individual online quotes. Baggage Delay 24 hours: $400 Group Insurance Fees will be Accident and Sickness Medical Expense: $50,000 collected with final payment Emergency Evacuation and Repatriation: $250,000 unless indicated otherwise. Non-Insurance Worldwide Emergency Assistance Services: Included Group Insurance with Trip Cancellation Coverage: See Table Trip Cancellation: Trip Cost Trip Interruption: 150% of Trip Cost Trip Delay 6 hours: $750 ($150/day) Missed Connection 3 hours: $500 Baggage/Personal Effects: $1,500 Baggage Delay 24 hours: $400 Accident and Sickness Medical Expense: $50,000 Emergency Evacuation and Repatriation: $250,000 Non-Insurance Worldwide Emergency Assistance Services: Included Group Insurance with Trip Cancellation AND Cancel for any Reason Coverage: See Table Shares Same Coverage as above plan Cancel for Any Reason: 75% of Non-Refundable Trip Cost *Cancellations must be made within 48 or more hours prior to departure. *Must be purchased within 14 days of initial trip deposit. Customized individual Plans: Create a quote online 1) Visit: http://online.jtbusa.com/services/travelinsurance.aspx 2) Select JTB USA Honolulu Office and Click Order Insurance 3) Browse plans, customize your coverage and purchase *Input $0.00 Trip cost for no Trip Cancellation; Input full Trip cost for Trip Cancellation coverage *Agent Name is Minako Sugiyama OR Call our Honolulu Branch office at (808) 979-0111 for assistance *Please note: To access some levels of coverage such as Trip Cancellation due to a pre-existing medical condition or Cancel for Any Reason, Insurance must be purchased within 21 days of initial tour deposit. No, I am not interested in Purchasing Insurance for this trip. Cost of Trip Rates with Cancel Rates Coverage for any Reason $1 - $300 $33 $49.50 $301 - $500 $39 $58.50 $501 - $1,000 $58 $87 $1,001 - $1,500 $93 $139.50 $1,501 - $2,000 $115 $172.50 $2,001 - $2,500 $145 $217.50 $2,501 - $3,000 $172 $258 $3,001 - $3,500 $194 $291 $3,501 - $4,000 $242 $363 $4,500 - $5,000 $319 $414 Print Name:

Hongwanji Accession Ceremony March 30 th to April 1 st, 2017 Day 1 March 30 th Kyoto Arrive at Hotel in Kyoto; Check-in (on own) Dinner is on own Kyoto Accommodations Rihga Royal Hotel Kyoto 1 Taimatsu-cho, Shiokoji-sagaru, Higashi Horikawa-dori, Shimyogo-ku, Kyoto 600-8237 Phone: +81(75)341-1121 Fax: +81(75)341-3073 Day 2 March 31 st Kyoto Dento Hokoku Hoyo Sanpai (Breakfast, Dinner) Daytime Participate in the Dento Hokoku Hoyo at Nishi Hongwanji Lunch to be provided by Honzan Enjoy Dinner at Local Restaurant with the Main Tour Group Day 3 April 1 st Kyoto Sightseeing (Breakfast) Check out by 11:00 AM All above arrangements are subject to confirmation upon official booking request Price of land arrangement per person: $485.00 estimated as of December 16 th, 2015 *Quotation based on double occupancy; Additional Charge of $300.00 for Single Occupancy *Current quotation calculated at an exchange rate of 118 Japanese Yen to $1.00 US *Prices are subject to change including but not limited to the scheduled consumption tax increase in 2017 or currency conversion rates Overview of Package Contents Please note that Round-trip airfare from Honolulu to Japan is not included Accommodations at the Rihga Royal Hotel Kyoto (2 Nights in Kyoto) Daily Breakfast, 1 Dinner (March 31 st ) Round trip dinner transfer (March 31 st ) Cancellations/Changes Tour Terms and Conditions Cancellation/deviation/change due to natural disaster, weather, war, civil unrest and order of government or immigration regulations applies regular rules below. JTB USA, Inc will make all possible efforts to minimize the penalty.

If situations occur during the trip, any extra cost for additional arrangements will be the group participant's responsibility. If any changes will be needed, please contact Minako Sugiyama ASAP. A non-refundable deposit per traveler of $100 will be required by August 31st, 2016. Full payment of all tour cost will be required by Friday, December 16 th, 2016. (Initial deposit and airfare are nonrefundable) Cancellations after deposit payment will be subject to the following cancellation terms * 100 days or more prior to the departure day $100 deposit * 99 to 66 days prior to the departure day..30% of the total fee * 65 to 35 days prior to the departure day...50% of the total fee * 34 to 7 days prior to the departure day.80% of the total fee * Within 6 days from the departure day 100% of the total fee

HONGWANJI ACCESSION CEREMONY ONLY MARCH 30 th (Thu) ~ APRIL 1 st (Sat), 2017 *** JTB USA, Inc ~ TOUR APPLICATION *** PLEASE PRINT CLEARLY AND COMPLETE APPLICATION FORM ** NAME ON FORM MUST MATCH THE NAME ON YOUR PASSPORT ** ** PASSPORT MUST BE VALID AT LEAST 6 MONTHS BEYOND THE DATE OF TOUR ** Please submit a passport copy along with your application 1. MR., MS., MRS. / / Last Name First Name Middle Name (Please circle one). Date of Birth (MM/DD/YY) Passport Number Expiration Date (MM / DD / YY) Mileage number 2. MR., MS., MRS. / / Last Name First Name Middle Name (Please circle one). Date of Birth (MM/DD/YY) Passport Number Expiration Date (MM / DD / YY) Mileage number Do you want JTB to arrange a flight? YES : Departure Date: Arrival City in JAPAN: Return Date: Return City in JAPAN: Carrier Preference: Class : Economy / Business / First (Circle one) NO : * Travel Insurance available for optional purchase prior to departure. Please fill out the following form and submit with your application. *All other information (address, contact information, travel preferences, etc.) will be shared with Honpa Hongwanji Mission. Please complete the separate Accession Ceremony Registration form in addition to this form. Special request / Notes - CUSTOMER S ACKNOWLEDGEMENT - I certify that I have read the Tour s Terms and Conditions and agree to abide by them Signature: Date:

Optional Travel Insurance Yes, I am Interested in purchasing Travel Insurance! Please Select One of the Following: A minimum of 10 people are Group Insurance with no Trip Cancellation Coverage: $21 Per Person required to secure a group Trip Interruption: Up to $500 Return Airfare insurance rate. If less than 10 Trip Delay 6 hours: $750 ($150/day) people request insurance, Missed Connection 3 hours: $500 they will have to create Baggage/Personal Effects: $1,500 individual online quotes. Baggage Delay 24 hours: $400 Group Insurance Fees will be Accident and Sickness Medical Expense: $50,000 collected with final payment Emergency Evacuation and Repatriation: $250,000 unless indicated otherwise. Non-Insurance Worldwide Emergency Assistance Services: Included Group Insurance with Trip Cancellation Coverage: See Table Trip Cancellation: Trip Cost Trip Interruption: 150% of Trip Cost Trip Delay 6 hours: $750 ($150/day) Missed Connection 3 hours: $500 Baggage/Personal Effects: $1,500 Baggage Delay 24 hours: $400 Accident and Sickness Medical Expense: $50,000 Emergency Evacuation and Repatriation: $250,000 Non-Insurance Worldwide Emergency Assistance Services: Included Group Insurance with Trip Cancellation AND Cancel for any Reason Coverage: See Table Shares Same Coverage as above plan Cancel for Any Reason: 75% of Non-Refundable Trip Cost *Cancellations must be made within 48 or more hours prior to departure. *Must be purchased within 14 days of initial trip deposit. Customized individual Plans: Create a quote online 1) Visit: http://online.jtbusa.com/services/travelinsurance.aspx 2) Select JTB USA Honolulu Office and Click Order Insurance 3) Browse plans, customize your coverage and purchase *Input $0.00 Trip cost for no Trip Cancellation; Input full Trip cost for Trip Cancellation coverage *Agent Name is Minako Sugiyama OR Call our Honolulu Branch office at (808) 979-0111 for assistance *Please note: To access some levels of coverage such as Trip Cancellation due to a pre-existing medical condition or Cancel for Any Reason, Insurance must be purchased within 21 days of initial tour deposit. No, I am not interested in Purchasing Insurance for this trip. Cost of Trip Rates with Cancel Rates Coverage for any Reason $1 - $300 $33 $49.50 $301 - $500 $39 $58.50 $501 - $1,000 $58 $87 $1,001 - $1,500 $93 $139.50 $1,501 - $2,000 $115 $172.50 $2,001 - $2,500 $145 $217.50 $2,501 - $3,000 $172 $258 $3,001 - $3,500 $194 $291 $3,501 - $4,000 $242 $363 $4,500 - $5,000 $319 $414 Print Name: