Cuba Trip Registration...

Please note: If you wish to register more than one person, please submit a separate registration form and payment for each person. Registrations are accepted on a first come first served basis.

Registration options: On the next page, there are options for: method of payment, shared or single accommodation and full payment or deposit (if a trip is more than 90 days from departure).

Workshop/Trip Details:
Location: Cuba (Havana+Trinidad) 12 days
Dates: December 10-21, 2015

Contact information...

Name

First Name

Last Name

Occupation

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Secondary Phone

Country

(###)

###

####

Re-enter Email

Name on Passport

Passport Number

(If you don't have a passport now or will be renewing it before the trip, just enter a string of zeros. We will need your actual passport number and expiration date at least 30 days before departure)

Passport Expiration Date

Date of Birth

YYYY

Nationality

Mother's Maiden Name (required for Cuba trips)

Gender

Select

Emergency Contact Name

Emergency Contact Phone

Background

How did you hear about the workshops?

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Which experience level describes your photographic knowledge the best?

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I'm most interested in...

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Would you like a personal consultation from Lorne on which equipment to bring, buy and/or rent for the trip? This can be done via phone or email. There is no charge for this.

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Comments or other information