Brazil Eco Tour - November 2010

Registration Form

645 Rollo Road, Gabriola Island, British Columbia, V0R 1X3 Canada
Tel: 250 247 9109 Email: peter@peterllewellyn.com

I wish to reserve a place on the 2010, 9 day/8 night ecolodge tour 14 - 22 November 2010

 

BOOKING FORM

 

(All registrations are accepted on a first-received, first-served basis. If you are booking for more than one person please complete a separate form for each)

To reserve your place a deposit of $500 US is required

Name

Email:

Address

City, State, zip/post code:

Country:

Phone (Day): Phone (evening):

I wish to book the following field trip dates:

November 14-22, 2010


I wish to be added to the mailing list to receive details of future workshops and field trips

I will pay by cheque (Please make cheques payable to Peter Llewellyn and send by post to Peter Llewellyn, 645 Rollo Road, Gabriola Island, BC V0R 1X3, Canada) - note that cheques must be received within 7 days of booking

I will pay by Paypal (You can use Paypal to pay by credit card even if you do not have a Paypal account. You will see the Paypal button to complete your registration on a secure server after you click on "submit form" below)

 

FOR BOOKING CONDITIONS PLEASE CLICK HERE