Registration for Trips Which trip are you registering for?*Provence, April 2018Paris with Mark Pryor, July 2018Périgord with Martin Walker, August 2018Tuscany, October 2018How did you hear about this trip?*Politics & Prose, Washington, D.C.Book People's Mystery Bookstore, Austin, TexasPoisoned Pen, Phoenix, ArizonaThe Strand, New YorkName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home PhoneWork PhoneCell PhoneEmail Enter Email Confirm Email Do you plan to stay on for the optional trip extension?*YesNo(Note that you can change your mind on this question later, if desired.)Is it okay for us to share your email address with other trip participants (but with no one else, of course)?Yes, that's fineNo, I'd prefer you didn'tEmergency ContactEmergency Contact Name* First Last Relationship to you*Emergency Contact Home PhoneEmergency Contact Work PhoneEmergency Contact Cell PhoneEmergency Contact Email* Enter Email Confirm Email Traveling CompanionWill you be traveling with someone else?*YesNoTraveling Companion Name First Last Will you share a room or each have your own room?ShareEach have own roomPaymentWould you prefer to pay your deposit by check or with PayPal?*PayPalCheckPaying with PayPal Sheila will email you an invoice that can be paid with PayPal. PayPal accepts all major credit cards. PayPal invoices will include a 3% surcharge to cover processing fees.Paying by Check Make checks out to Wild Blue Yonder. Mail checks to: Sheila Campbell Wild Blue Yonder 1001 Spring Street, Suite 623 Silver Spring, MD 20910Agreement to Terms and Conditions* I have read the Terms & Conditions associated with this trip prior to registering. * I understand the refund terms and conditions should I cancel my trip for any reason. I have been advised that I should purchase trip insurance to cover the costs of cancellation. I have read the section on Health and Medical Issues carefully and certify that I am able to meet the physical specifications for this trip, which require walking long blocks, sometimes uphill or on uneven surfaces, up to a mile at a time, and climbing several flights of stairs without assistance.*YesNo Bookmark It Hide Sites