Experience the Beauty and Culture of the Netherlands
Please fill out the following registration form and return by e-mail to: firstname.lastname@example.org with a copy to email@example.com
Please register me (us) for the Netherlands trip ______________
Cost: $2875 _____ (Land only option $1805) ________
Deposit $450 per person
I would like to share a room with _____________________________________
Please reserve a single room for me. Single supplement is $475 ________
Total enclosed: _____________________
Final payment is due 90 days before departure.
See web site (www.journeyweavers.com)
for details of
Cancellation must be made in writing. Amount paid for airfare in non refundable.
Please indicate how you are making the registration deposit
Options for Payment of Registration Fee:
1) by bank deposit in Costa Rica in the account of Ana Zamora Alfaro, Agencia Yemaya - Cta. BN (dollar account) 200-02-099-003869-0
2) by bank deposit in Costa Rica in the account of Ineke Lamey Van Marle - Cta. BN (in colones) 200-01-173-004334-8
3) by check make out to Journeyweavers and sent to Sandra Pollack, Journeyweavers, 313 Washington St. Ithaca, NY 14850 USA
We highly recommend that you purchase Trip Insurance. For your convenience, we have partnered with Travel Insured International and and will send materials for Trip Insurance purchase when we receive your application.
For additional information please email Sandra Pollack at firstname.lastname@example.org or Ana Zamora at email@example.com