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Registration
 To register for an expedition, please fill out this form and click submit. You will then be redirected to the Payment Page to choose a payment option. To secure a place on the expedition, a deposit MUST accompany your registration.
(Please do not use this form if you are not ready to commit and pay a deposit. If you wish to contact us for questions or availability, go to Contact us. Thank you.)


First Name:
Last Name:
Date of Birth:
Phone:
Fax:
E-Mail:
Address:
City:
State/Zip:
   
Expedition Name:
Expedition Date:
FOR INDIA EXPEDITIONS ONLY:
Nationality:
Passport Number:
Passport Expiration Date:

Accommodations choice (check two: type of room and smoking/non):
Single room
Double room - 2 beds (for 1 person wishing to share - no guarantee)
Double room - 1 bed (for 2 persons registering together)
Double room - 2 beds (for 2 persons registering together)
Smoking room
Non-smoking room (please note that in some countries hotels may not differentiate)
Meals:
Non Vegetarian
Vegetarian
Vegan
Optional Hot Air Balloon Flight (with Balloon Fiesta itinerary only):
Yes (supplement $395)
No
N/A
Optional extra day(s) in Paris (if mentioned in France itinerary):
Yes (supplement $295/day)
No
N/A
If yes, number of days:

Optional Camel Safari (if mentioned in Rajasthan itinerary)- reservations have to be made ahead of time, so please be sure:
Yes (no supplement)
No
N/A
I have read the General Information page
and accept the conditions set forth

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