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Workshop Registration
| | For a secure online credit card (American Express, VISA or MasterCard) registration, go to
Secure
Registration. Please note that if you use Foxfire or Fire Fox for your
browser, completing the online registration form may not work. Please
call.
If you prefer to register off line, please print this page, complete it
and mail to
the address at the bottom.
or
Telephone Roger Devore at 618-589-1729.
If you select a workshop/tour that is already filled, we will
notify you immediately upon receiving your registration.
The Nature Workshops
Registration Form
Name _______________________Telephone ________email __________
Address______________________________________________________
_____________________________________________________________
|
Workshop/Tour Name |
|
Cost |
| 1. |
|
$ |
| 2. |
+ |
|
| 3. |
+ |
|
|
Total Fees |
= |
|
|
Alumni discounts = $100 |
- |
|
|
Workshop/Tour Fees Due |
= |
|
|
|
+ |
|
Van transportation option @ $125/person/workshop (this is transportation
during
a Workshop only - see Transportation) |
+ |
|
Airport pick up and drop off service, in accordance with the times shown
in web site/brochure,
if applicable @ $75/person/workshop |
|
|
|
Total Fees |
= |
|
|
Deposits ($250/person/workshop for credit cards; full
amount due for checks/money orders)
(See specific deposit requirements for Alaska, Galapagos, Mexico and Italy
workshops) |
- |
|
|
Balance due 60 days prior to start |
= |
|
We make the lodging reservations. Would
you prefer single ____ or shared _____ accommodations?
Demographics (please supply the following
information so we can serve you better):
How would you describe your interest in Nature
Photography?
_________Professional Photographer __________Full
Time _________Part Time
_________Intermediate/Advanced Photographer
_________Amateur/Novice Photographer
What kind of nature and environmental
photography do you prefer?
_________Wildlife __________Plant Life __________Landscape
__________Macro
Are you a member of the North America Nature Photography Association (NANPA)?
_______
Where did you learn about us?
_____________________________________________________
Mode of Payment:
_______ Check or money order enclosed (payable to Roger Devore Photography -
Do not make checks payable to The Nature Workshops)
_______MasterCard _______Visa _________American Express
Credit card number _______________________ Expiration date _________
CV Code_______________________ (three digits on back of MasterCard or VISA, four
digits on front of AMEX)
I understand the Refund/Cancellation Policy as stated in the
Administrative Notes and the Environmental
Policy Statement, both found elsewhere on this web site, and, if paying by credit card, I authorize the use of that credit card to pay the fees related to the workshop for which I am registering.
Signature_______________________________________ Date_______________________
Send completed form to:
The Nature Workshops
7 Ryan Circle
Lebanon, IL 62254-1948
Or contact Roger Devore at 618-589-1729.
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