JR PASS Type:
Adult:
Child:
How many?:
How many?:
Departure Date:
H.I.S. Los Angeles Calendar
*Please indicate your expected departure date from the U.S.A.
DeliveryMethod:
*To allow us time for processing, H.I.S. Los Angeles accepts orders for the JR Pass through our website only up to one week before departure. Passengers with a week or less before departure should contact one of our branch offices. Delivery limited to US addresses only.
At office:Free
Please indicate which office you would like to pick up the pass(es).
(H.I.S. Locations)

Please indicate when you would like to pick up the pass(es)
H.I.S. Los Angeles Calendar


Delivery Charge:$20
Please indicate your delivery address:
(Street)
(City) (State) (Zip)
Name:
Prefix: First Name: Last Name:
Email:
Tel (Home):
Tel (day time):
*Please enter your name as it appears on your passport.
Companion 1 Companion 2
Prefix: Prefix:
First Name: First Name:
Last Name: Last Name:
Age (child): Age (child):
JR PASS prices for children apply from age 6 to and including age 11.
Please enter your name as it appears on your passport.
Companion 3 Companion 4
Prefix: Prefix:
First Name: First Name:
Last Name: Last Name:
Age (child): Age (child):
JR PASS prices for children apply from age 6 to and including age 11.
Please enter your name as it appears on your passport.
Terms & Conditions:
I agree that I have read, understand and accept the terms and conditions above.

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CST#:2001900-10