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.

First Name:

Last Name:

Date of Birth:

Phone:

Fax:

E-Mail:

Address:

City:

State/Zip:
  
Expedition Name:

Expedition Date:

If weekender,
number of days (2 or 3):


Accommodations choice:
Single room
Double room - 1 bed (for 2 persons registering)
Double room - 2 beds (for 2 persons registering)

Meals:
Non Vegetarian
Vegetarian
Vegan

Optional Hot Air Balloon Flight (with Balloon Fiesta itinerary):
Yes (supplement $325)
No
N/A

Optional City of Rocks extension (with White Sands Balloon Festival itinerary):
Yes (supplement $225)
No
N/A

Optional day(s) in Paris (if mentioned in Paris itinerary):
Yes (supplement $250/day)
No
N/A
If yes, number of days:

Optional Agra extension:
Yes (supplement $599)
No
N/A


I have read the General Information page
and accept the conditions set forth

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