| Name (Nickname is OK): |
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| Country you live: |
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| Email Address: |
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| Number of Travelers: |
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| Travel Plan (Date, Place, Price): |
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| Total Cost (Target): |
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What's your desired Hotel Grade?
(5:High - 1:Low) |
5 4 3 2 1 |
How important is Location?
(5:Very Important - 1:Not Important) |
5 4 3 2 1 |
Would you need Internet access in Room?
(5:Very Important - 1:Less Important) |
5 4 3 2 1 |
How important is Room Size?
(5:Very Important - 1:Less Important) |
5 4 3 2 1 |
How important is Coin Laundry?
(5:Very Important - 1:Less Important) |
5 4 3 2 1 |
Are you buying JR Rail Pass?
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Yes No Don't Know |
| Other Questions and Comments: |
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