Registration Form

 

Please complete and return this form, along with a 50% deposit to confirm your place.

 

Desired Date:_______________________ Location:_________________________

Name: ____________________________________ Age: _____________ M/F ____

Address: ___________________________________________________________

Phone: _______________________ Email: ________________________________

 

Enclosed is my chouse, money order, bank draft or credit card # for $_____________

Credit Card # __________________ Type of Credit Card: _____________ Expiry date:__________

 

Make all Cheques Payable to EXPLORE! CHARTERS
And Mail to:

If you wish, please give us an insight as to your desires.

Do you have any special interests that you would like to pursue during this expedition? ______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

 

 

To learn more ask for a Free Brochure or CD, and for

Bookings please call us Toll Free 1-888-649-6669 or

Email Us!