Talon Tours
DARIEN EXTENSION REGISTRATION – PANAMA 2018
May 27th to 31st.
Cost: $1,575.00 Per person (Double Occupancy) *
$1,775.00 Per person (Single Occupancy) *
Name (As shown on passport)______________________________________________
Address________________________________________________________________
City_________________________ State_____________ Zip Code_________________
Email__________________________________________________________________
Telephone______________________________________________________________
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__I wish to share a room. The name of my roommate is:____________________
Address if not the same _____________________________________________
__________________________________________________________________
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__I wish to have a room alone.
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Occupation________________________________________________________
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Date of Birth ______________________________________________________
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Do you smoke? ____________________________________________________
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Dietary preferences ________________________________________________
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In case of emergency please notify _____________________________________
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Any medical information we should be aware of ________________________
__________________________________________________________________
Deposit: $500.00 Balance due by April 1st, 2018
Please send registration form and payment, made payable to Talon Tours, to:
509 Jack London Drive, Santa Rosa, Ca. 95409
PH (707) 843-5211
E-mail ken@talontours.com
www.talontours.com
* Tour cost is based upon a minimum group size of four participants.
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