AMA-FORM｜MIEscape | Experience the unique local cultural tours in Mie, Japan
TOP > AMA-FORM

Reservation Form

For reservation, please submit the following form. We will contact to you after receiving your request. Your order will be accepted once we check the availability and your payment has been done. (The field with ※ are required to fill in. )

Tour name※
Name※
Email address※
Email address※
(Enter the above same
email address to check )
Address※
Phone number we can contact
to you on the day ※
Accommodation on the
prior day※
Number of participants（Age 13+）※
Preferred date※
Need wet-suit ?※

※Please note that there is limited number of wet-suits. If there is no availability of wet-suits, please bring your own swimsuits, rash guards or surfing leggings.
Need water shoes ?※

※Please note that there is limited number of water shoes. If there is no availability of shoes, please bring your shoes which can be used in water.
Need snorkel mask ?※

※Please note that there is limited number of water shoes. If there is no availability of shoes, please bring your shoes which can be used in water.
How you knew about the tour
Message

BACK TO TOP