Registration Form - Travel Pursuits 2010

Please fill in the following registration form. For each trip, a $500 non-refundable deposit per person is due at registration. Online payment is not available. We will be in touch by phone to confirm your selections and arrange payment.

All prices for Canadian destinations include Canada’s Goods and Services Tax (GST).

Step 1: Contact Information (* Denotes Required items)

Registrant
Name*
Email Address*:
Address*:
City*:
Province/State*:
Postal/Zip Code*:
Country*:
Phone Number*:
Alternate Phone Number:
Fax Number :

Step 2: Trip Selection

Please indicate which trip(s) you would like to register for:

Register	TRIP	DATES	NIGHTS	LOCATION	DEPOSIT	PRICE	SINGLE SUPP
	The Poesy Of Key West	Jan. 10-15, 2010	5	Key West, Florida	USD $500	USD $1995 pp	USD $700
	Rough Love In A Rugged Land	May. 15 – 23, 2010	8	Cornwall County & London, England	CAD $500	£1750 pp	On Request
	Get Real; Get Rural	Aug. 11 – 16, 2010	5	Huron County, Ontario	CAD $500	CAN$1995 (approximate)	CAN$395 (approximate)
	The American Southwest	Sept. 24 – Oct.1, 2010	7	Various cities, New Mexico	USD $500	USD $2495	US$795
	Rocking The Cradle Of Civilization	Oct. 21 – Nov. 2, 2010	12	Various cities, Egypt	CAD $500	USD $4495 pp	USD $1575

Step 3: Accommodation Preferences Please indicate your accommodation preferences:

Step 4: Flight and Other Travel Arrangements

Please check this box if you would like to request flight assistance and/or pre or post trip hotel reservations from our Travel Partner.

Anti-spam Question Is fire hot or cold?
- This confirms that this is a legitimate registration.

Note: The input below should not be filled in. It is a spam trap. Please ignore it. If you populate this input, the form will return an error.

Submit Form Please review your selections and then click the submit button.
Check this box if you want a carbon copy of this email.