Please print or copy the following form and mail or email to:

Carol Duchamp
Art Trek
P.O. Box 1103
Bolinas, CA 94924

888-522-2652 toll-free
415-868-9558 voice

carol@arttreks.com

Painting Class name and dates:

___________________________________________________________

q Enclosed is my travel deposit made payable to Art Trek.

q West Marin Watercolor for Self-Expression 1-Day Saturday $95.

q West Marin Watercolor for Self-Expression Weekend $180.

q Island Watercolor Tahiti and Huahine, French Polynesia August 7-17, 2008 $1200.

q Watercolor for Self-Expression St. Jeannet, France July 18-27, 2008 $1200.

q I have enclosed an additional _______ for single accommodations.


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 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 art workshop.

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) _________________