.
Please Print and Mail this Reservation Form with deposit
Please reserve______spaces on the__________________________________________________photo
tour.
$200 per person is enclosed .Trip Date
Name(s) as on passport_________________________________________________________________
Name you go by if different from
above (i.e. nickname)_________________________________________
Street________________________________________________________________________________
City_______________________________________
State___________Zip_________________________
Home Phone_________________________________Cell
Phone_____________________________________
Email___________________________________________________Work
Phone________________________
Date(s) of Birth__________________M/F_______Occupation________________________________________
Passport #(s)____________________________________Expires_____________________________________
(
) I am traveling alone and would like to share a room (single supplement
required if no roommate match
can be made).
(
) I am a smoker. ( ) I would prefer a non-smoking roommate.
(
) I prefer to room alone and will pay the single supplement.
Any physical limitations?________________________________________________________________
Person to contact in case of
emergency during the tour:
Name_______________________________________________Relationship_______________________
Address____________________________________________________________________________________
Home Phone__________________________________Work/Cell Phone________________________________
I/We have read the Terms
and Conditions which apply to this tour, especially noting the policy
on
cancellation, price of tour, responsibility, health, and trip insurance:
Signature________________________________________________Date_________________________
Signature________________________________________________Date_________________________
MAKE CHECK PAYABLE TO JIM CLINE
PHOTOGRAPHY and mail to:
JIM CLINE PHOTOGRAPHY
11223-5 Carmel
Creek Rd, San Diego, CA 92130