June 2012 Portland
REGISTRATION FORM


Please print a copy of this form, complete it and send it along with your deposit to:

Sew Many Options Tours
15942 SE Brooklyn Street
Portland OR 97236-2049

Please make checks payable to: Sew Many Options Tours
 
Please reserve space for me on the following tour(s):
Portland Deposit Due: $300
Balance due by April 20, 2012
$ 300.00
Total Enclosed: $ 300.00
Payment Method
Check   Visa | MasterCard | Discover | American Express
  Card Number: ________________________________________
  Exp. Date: ________________________________________
  CCV: ________________________________________
Tour Options (mark all that apply)
Single Room Supplement - $280

REGISTRANT INFORMATION
Name:
Address:
City/State/Zip:
Phone 1: Phone 2:
Email Address:
ROOMMATE REQUEST
We will make every effort to match you with a suitable roommate, but cannot guarantee it.
I prefer a non-smoking roommate I prefer a smoking roommate
Roommate's Name:
IN CASE OF EMERGENCY, NOTIFY
Name: Phone:
Name: Phone:
I would like information on trip cancellation, baggage loss, travel accident and optional sickness insurance.
I am not interested in buying any of the above insurance.  (We strongly urge the purchase of insurance)
Medical problems or dietary restrictions? Please elaborate on a separate sheet.
I have read and understand the cancellation policy. Sew Many Options Tours is not liable for any personal injury, property damage, or other loss, accident, delay or inconvenience caused by any supplier or any party not under their control. Your signature indicates your understanding and agreement to this.
Signature: