Photo Explorer Tours DENNIS COX LLC

Tour Reservation Form
(Click for printable PDF Version, or print out this page)

Click for Terms and Conditions


Please reserve______________place(s) on the______________________________________________________photo tour. A deposit of $500 per person is enclosed. Full payment is due 60 days prior to departure. All checks should be made out to "PHOTO EXPLORER TOURS" and mailed with this form to:

Photo Explorer Tours, 2506 Country Village, Ann Arbor MI 48103-6500 USA


Name(s) as listed on passport(s)__________________________________________________________

_______________________________________________________

Name(s) you go by if different from above (i.e.nickname)_____________________________________

Street______________________________________________________________________________

City___________________________________State_________Zip______________________________

Home Phone_________________________Work Phone______________________________________

Fax________________________________E-mail___________________________________________

Date(s) of Birth_______________________Occupation(s)_____________________________________

Passport Number(s)____________________________________Expires_________________________

Departure City (nearest airport)_____________________________________T-Shirt Size____________
Complete if you wish to have an international flight booked for you (service charge applies).

( ) I am traveling alone and would like to share a room.

( ) I am a smoker. ( ) I would prefer a non-smoking roommate.

( ) I prefer to room alone and will pay the single supplement.

( ) Please match me with a roommate if possible (single supplement required if no roommate match can be made).

( ) I will arrange my own international air and will purchase the land only for this tour. (Photo Explorer Tours will provide names of airline ticket consolidators upon receipt of registration form.)

( ) I would like a pre-or post-tour extension. (Please call, or include requested itinerary or arrangements).

Person to contact in case of an emergency during the tour:

Name________________________________________Relationship_____________________________

Address_____________________________________________________________________________

Home Phone___________________________Work Phone____________________________________


PLEASE NOTE: This form shall also serve as a model release for all photographs of tour members.

I/We have read and agree to the Terms and Conditions which apply to this tour, especially noting the policy on cancellation, tour prices, health, travel insurance, and responsibility:

Signature:________________________________________Date:___________________________

Signature:________________________________________Date:___________________________