Venice Workshop Registration form
The cost of the trip, based on the current value of the Euro will be $2850 for single occupancy
and includes 7 nights lodging, ground transportation,
breakfast and 3 dinners.
Name *
first and last
Your answer
email *
Your answer
Address *
full address with zip code
Your answer
primary phone number *
Your answer
Passport no. *
Your answer
gender and birthdate *
Your answer
Expiration date: *
M/D/Y
Your answer
Any special needs *
Your answer
Emergency contact *
Your answer
Please multiply the number of persons times the above amount to arrive at....................... TOTAL: $________ To confirm your reservation/s, a deposit of $515 of the trip price is due at the time of booking. Final payment is due no later than September 15, 2017. Information concerning change fees, cancellations, etc. may be found in t he Terms and Conditions Form. Please indicate the amount of the check you are enclosing__________ and the number of people for whom you are paying_________ Checks can be made payable to Candice Smith Corby Studio, and the mailing address is 96R Billington St, Plymouth, MA 02360.
Your answer
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