FIRST LIGHT REGISTRATION FORM
TRIP SIGNING UP FOR: Northern Lights Week 1Northern Lights Week 2Birds of FloridaOregon CoastAlaska EaglesIceland AdventureColorado WildflowersCO Mountain GoatsMount RainierAlaska BearsPolar BearsCO Fall Star Trails 2010Northern Lights Fall Week 1Northern Lights Fall Week 2Florida WinterPenguins - Falklands 2011
CONTACT INFORMATION
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
E-MAIL ADDRESS:
LODGING INFORMATION
AGE:
SEX: Male Female
SMOKER: NoYes
LODGING PREFERENCE: Double Occupancy (Assigned) Double Occupancy (Chosen) Single Occupancy (Additional Fee)
ROOMMATES NAME:
ADDITIONAL COMMENTS:
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 2123; Castle Rock, CO 80104.
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 AdShawguides.comWeb SearchingPhotographicworkshops.infoFlickr.comApogeephoto.comHunt's PhotoPhoto GalleryFrom a Former ParticipantI've Attended BeforeCamera Club ProgramNANPAGonshoot.com
CAMERA TYPE: DigitalFilmBoth
PRIMARY CAMERA FORMAT: 35mmMedium FormatLarge Format
I'M MORE INTERESTED IN: Hands-on Help Getting to the Right Spots Both
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.