Bird Treks - A Quality Birdwatching Tour Company based in PA

Registration -

I/We would like to register for the following tour
TOUR NAME -
TOUR DEPARTURE DATE - TODAY'S DATE - 22 May 2013

The minimum deposit of $0.00 per person will be paid by

Check Money Order PayPal

Balance is due 60 days prior to departure date for domestic tours, 90 days for foreign tours.

If paying with PayPal, you will be redirected to the PayPal web site after submitting your registration information. At that time you can pay any amount from the minimum deposit of $0.00 per person up to the entire tour fee of $0.00 per person, plus the fee for a single room (if applicable).

Or you can mail a check for a minimum of $0.00 per person USD payable to BIRD TREKS to:
BIRD TREKS
216 Spring Lane
Peach Bottom, PA USA 17563-4008.
Please put the notation '' on the check. Thank you for choosing Bird Treks!

NAME1	Male Female
NAME2	Male Female
ADDRESS
CITY
STATE
ZIPCODE
Home Phone
Business Phone
Cell Phone
Email

I wish to have a single room, whenever possible, at additional cost.
I have a roommate (name)
I wish BIRD TREKS to provide a roommate, but if none is available, I understand there will be no extra charge, unless otherwise stated.

I am a non-smoker smoker

Please list ALL health problems and special dietary needs

In case of emergency, notify

Name
Relation
Phone

I wish BIRD TREKS to handle my flight arrangements
Yes No only after my approval

If yes or with approval, please complete the following information

Preferred Departure City/Airport
Alternate Departure City/Airport
Departure Date
Return Date
Preferred Airline(s)
Frequent Flyer Number(s)
Seating Preference	Economy First Class
	Window Aisle

Senior Citizen (62 years or older)	Yes No

Preferred Payment of Airfare	Check Money Order Credit Card

I have read the Release Form and agree to its terms. Yes No

Questions or comments

Bird Treks - A Quality Birdwatching Tour Company

Tour By Region

North America

Central America

South America

Europe

Africa

Asia

Registration -