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Art
Trek 2010-2011
RESERVATION FORM |
Please
print or copy the following form and mail or email to:
Carol Duchamp
Art Trek
P.O. Box 1103
Bolinas, CA 94924
cell 415-868-9558
carol@arttreks.com
Painting Class name and dates:
_______________________________________________________________________________________________________________________
q Enclosed
is my class and/or travel deposit made payable to Art Trek.
q West Marin Water Media for Self-Expression 1/2-Day Sunday $40. Sept 12, 19, 26 Oct 3, 10, 17 Nov 7, 14, 21, 2010
q West Marin Water Media for Self-Expression Weekend $180. tba
q West Marin Mixed Media Fall Intensive 1-day, $95 or 2-day, $180 or 3-day, $270. Sept 4, 5 & 6, 2010
q Umbria, Italy July 27 - August 10, 2011 / $500 workshop deposit
q Tahiti & Huahine Islands, French Polynesia tba / $500 workshop deposit
q Collioure, France tba / $500 workshop deposit
q Languedoc/Roussillon, France tba / $500 workshop deposit
q Santa Fe, New Mexico tba / $250 workshop deposit
q I have enclosed an additional _______ for single accommodations.
*
Please make checks payable to Art Trek.
Name (as it appears on passport)____________________________________________
Address _________________________________________________________________
City/state/zip ____________________________________________________________
Day phone _____________ Evening phone ____________ E-mail __________________
Number in party ___________        Ages _____________
Health (any special considerations, diet, etc.) _________________________________
q I
would like to share a double room with _____________________________________
q I
would like to share a double room; please select my roommate.  
Rooming Preference: q Male       q Female       q Smoker        q Non-smoker  
Meals: 
  q Regular
        q
Fish
& Chicken         q
Vegetarian
        q
Other
_________
Art Experience: 
  q Beginner
        qIntermediate
        q
Advanced
q   
I will choose from the menu of accommodation options and make my own travel
arrangements (if applicable).
q   
I plan to fly round-trip on the group air travel itinerary (if applicable).
q    I
plan to fly outbound with the group but would like to extend my stay (if applicable).
q   
I will be making my own flight arrangements for this international art workshop
(if applicable).
I have read and understand
the information pertaining to fee, enrollment procedures, responsibilities and
refunds, and I understand that all arrangements are made subject to strikes,
hotel availability, devaluation/revaluation of the dollar, and other conditions
beyond the control of Art Trek or their suppliers.
Signature(s) ______________________________        (Date) _________________
| Art
Trek PO Box 1103 Bolinas, CA 94924 |
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