| The Natural History of Trinidad and Tobago February 2 - 11, 2012 Leader: Bill Murphy |
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Please mail completed application with $500/person deposit made out to Bill Murphy, 7835 Tufton Street, Fishers, IN 46038 |
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Mr / Mrs / Ms ______________________________________________________________________________ Street, Apartment, P.O. Box __________________________________________________________________ City, State, Zipcode _________________________________________________________________________ Home Telephone _________________________ Work Telephone ____________________________________ E-mail address(es)_____________________________________________________________________________ Person to Notify in Case of Emergency __________________________________________________________ Previous Travel Experience ___________________________________________________________________ Birding Experience (life list, if you maintain one) _________________________________________________ Other Special Interests _______________________________________________________________________ Physical Limitations/ Food Allergies____________________________________________________________ Other relevant information that may help the tour leader accommodate you: ____________________________ __________________________________________________________________________________________ ___ I desire single-room occupancy for which I am willing to pay the stated supplemental charge. ___ I desire twin-room occupancy; my roommate's name is _________________________________________ ___ I desire twin-room occupancy and wish you to select my roommate.
Tour Participant Acknowledgement: I understand that William L. Murphy has no liability for my personal medical expenses and further that I have no physical or other limiting factors that would possibly create a hazard to myself or to other participants on the tour; that the tour prices for both land and air are subject to change without notice to reflect differences in supplier charges and/or fluctuations in foreign exchange rate with respect to U.S. currency; and that I have been advised of the availability of insurance coverage for trip cancellation, medical assistance, and baggage loss. My signature below is evidence that I understand and accept the complete tour conditions as described in the tour literature.
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