Please Print and Mail this Reservation Form with deposit
Please reserve______spaces on
the____________________________________________photo tour.
A deposit of $600 per person is enclosed.
Name(s) as on
passport__________________________________________________________________
Name you go by if different from
above (i.e. nickname)_________________________________________
Street________________________________________________________________________________
City______________________________________
State___________Zip__________________________
Home Phone_______________________________Work/Cell
Phone______________________________
Email_________________________________________________________________
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 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
11387 Ocean Ridge Way, San Diego, CA 92130