FIRST LIGHT REGISTRATION FORM

TRIP SIGNING UP FOR:

CONTACT INFORMATION

NAME:

ADDRESS:

CITY, STATE, ZIP:

PHONE:

E-MAIL ADDRESS:

LODGING INFORMATION

AGE:

SEX:

SMOKER:

LODGING PREFERENCE:

ROOMMATES NAME:

ADDITIONAL COMMENTS:

PAYMENT INFORMATION

DEPOSIT PAYMENT METHOD:

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 6921; Tyler, TX 75711.

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:

CAMERA TYPE:

PRIMARY CAMERA FORMAT:

I'M MORE INTERESTED IN:

RETURN TO TOURS PAGE

Once you have clicked the submit button, it will be forward and a Forms Submissions Results page will appear. You will then need to hit your back button twice to return to the main Workshops page.