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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-Day Saturday $95. Jan 30, Feb 20, Mar 6, Apr 10, May 22, 2010
q West Marin Water Media for Self-Expression Weekend $180. Mar 6-7, 2010
q West Marin Mixed Media Spring Intensive 1-day, $95 or 2-day, $180 or 3-day, $270. May 29, 30 & 31, 2010
q Collioure, France June 21-28, 2010 / $250 class fee deposit.
q Languedoc/Roussillon, France June 28-July 5, 2010 / $250 class fee deposit.
q Chasing Gauguin, French Polynesia July 24-31, 2010/ $250 class fee deposit.
q Umbria, Italy tba late June/early July 2011 / $500 travel deposit.
q Santa Fe, New Mexico tba September 2011 / $250 class fee deposit
q Tahiti & Huahine Islands, French Polynesia tba December 2011 / $500 travel 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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