Bird Treks - A Quality Birdwatching Tour Company

Birding Around the World 14 Years

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Registration - WINTER BIRDS of SOUTH TEXAS

I/We would like to register for the following tour
TOUR NAME - WINTER BIRDS of SOUTH TEXAS
TOUR DEPARTURE DATE - 10 January 2014           TODAY'S DATE - 18 May 2013


The minimum deposit of $600.00 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 $600.00 per person up to the entire tour fee of $2,595.00 per person, plus the fee for a single room (if applicable).

Or you can mail a check for a minimum of $600.00 per person USD payable to BIRD TREKS to:
BIRD TREKS
216 Spring Lane
Peach Bottom, PA USA 17563-4008.
Please put the notation 'WINTER BIRDS of SOUTH TEXAS ' 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