Registration Form For Sep 28 - Oct 8, 2007 Southern France Sacred Journey with Cayelin and Nancy

Go to France Overview Go to Itinerary Go to Tour Logistics

Contact Cayelin for questions 262-567-0657

Welcome to the 2007 Journey to Southern France. Please print out this form, fill it out, then sign and return as soon as possible. (This is a printer friendly form that will print in one page without the website background.) Acceptance of all conditions of the Tour Responsibility Waiver and the two Tour Logistics Pages is confirmed by your dated signature on this form. Click Here for the Tour Responsibility Waiver Form

Name as it appears on passport____________________________________________

Name you wish to be called________________________________________________

Mailing address_________________________________________________________

______________________________________________________________________

Home phone_________________________Work phone_________________________

Email_________________________________________________________________

Occupation_____________________________________________________________

Website address_________________________________________________________

Birth Date (Month, Day, Year)__________________________________
Birth Time_________________________________
Birth Place________________________________

Passport number__________________Date and place of issue___________________

In case of emergency notify_________________________________________________

Phone_________________________________Relationship______________________

Special dietary and health needs_____________________________________________

______________________________________________________________________

Roommate preference_____________________________________________________

(Single Supplement when available is $400).

**I have read the Tour Logistics/Tour Responsibility Waiver pages and agree to the conditions:

Signed_________________________________________________________________

Date___________________________________________________________________

We are looking forward to your presence on this sacred journey Sep 28 to Oct 8, 2007. May many Blessings and Good Fortune Come Your Way! Nancy and Cayelin

**Please make checks payable to: Nancy Safford
and then send your check along with this completed form to:
Cayelin Castell, PO Box 222, Okauchee, WI 53069

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