. Reservation Form
Please Print and Mail this Reservation Form with deposit

 

Please reserve______spaces on the____________________________________________photo tour.

 

A deposit of $500 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

11223-5 Carmel Creek Rd, San Diego, CA  92130