• Immersion Kyushu 2027 Tour Application

    November 9 - 20, 2027 • Led by Hiroko Shimbo

  • Note: Prior to submitting your application, please review the tariff and payment schedule.
    A $3000 deposit is due for each traveler at the time of application, and will be collected securely via ACH bank transfer.

  • Participant #1

    Primary Applicant
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Passport Issue Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Passport Expiration Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do you have any of the following?
  • Occupancy*

  • Participant #2

    Secondary Applicant
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Passport Issue Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Passport Expiration Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Do you have any of the following?
  • Should be Empty: