FIRST LIGHT WORKSHOP REGISTRATION FORM
TRIP SIGNING UP FOR: Northern Lights Week 4Northern Lights 2013Birds of FloridaS Texas BirdsFranceAlaska EaglesCO Mountain GoatsColorado WildflowersMount RainierOregon CoastCO Fall 1CO Fall 2Sand DunesMonument ValleyBlue Ridge ParkwayBosque del Apache
CONTACT INFORMATION
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
E-MAIL ADDRESS:
LODGING / MEALS INFORMATION
AGE:
SEX: Male Female
SMOKER: NoYes
LODGING PREFERENCE: Double Occupancy (Assigned) Double Occupancy (Chosen) Single Occupancy (Additional Fee)
ROOMMATES NAME:
ADDITIONAL COMMENTS:
SPECIAL FOOD NEEDS / CONCERNS:
PAYMENT INFORMATION
DEPOSIT PAYMENT METHOD: Check Credit Card (PayPal)
To pay deposit / balance by credit card using PayPal please do so on the Tours page and select the PayPal link.
If paying by check please make check out to Andy Long and mail to: First Light; P.O. Box 280952; Lakewood, CO 80228.
I have read and understand the terms and conditions provided on the tours page and by checking this box I agree to and accept the stated terms.
GENERAL INFORMATION
HOW FOUND OUT ABOUT FIRST LIGHT: Nature Photographer AdOutdoor Photographer AdApogeephoto.comFacebook GroupLinkedIn GroupAllPhotoAdventures.comShawguides.comWeb SearchingPhotographicworkshops.infoFlickr.comFrom a Former ParticipantI've Attended BeforeCamera Club ProgramNANPA
CAMERA TYPE: DigitalFilmBoth
PRIMARY CAMERA FORMAT: 35mmMedium FormatLarge Format
I'M MORE INTERESTED IN: Hands-on Help Getting to the Right Spots Both
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