Bird Treks - A Quality Birdwatching Tour Company

Registration - Churchill & Southern Manitoba

I/We would like to register for the following tour
TOUR NAME - Churchill & Southern Manitoba
TOUR DEPARTURE DATE - 9 June 2018            TODAY'S DATE - 22 June 2018

The minimum deposit of $900.00 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 $900.00 per person up to the entire tour fee of $4,195.00 per person, plus the fee for a single room (if applicable).

Or you can mail a check for a minimum of $900.00 per person USD payable to BIRD TREKS to:
216 Spring Lane
Peach Bottom, PA USA 17563-4008.
Please put the notation 'Churchill & Southern Manitoba' on the check. Thank you for choosing Bird Treks!

NAME1 Male     Female
NAME2 Male     Female
Home Phone
Business Phone
Cell Phone

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, please notify:

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

If your travel for this tour requires a passport, please include full passport information below in the Questions or Comments section:
Your full name as on your passport
Your passport number
Birth date
Country of issue
Expiration date

Questions or Comments