Name:______________________________________________________
Occupation:__________________________________________________
Address:____________________________________________________
City/State/Zip:_______________________________________________
Phone: (day) __________________(eve)__________________
Phone: (cell) __________________
E-mail
address wk: ________________________________
E-mail address hm: ________________________________
Name of Trip:________________________
Trip date:________________ 2nd Choice Trip Date: _______________
No. in Party: Adult(s)_____ Ages:____
Youth(s)______ Ages: _____
Weights of Adult(s)_________ Weights of Youth(s):_________
*For safety reasons (lifejacket sizing)
Adult Fare: $______________ Youth
fare: $____________
Amount enclosed:__________________
I wish to charge the Deposit
for the Land Cost on: Visa___ MC___
Visa/Mastercard Card #:__________________________________
Exp. Date:________ 3 no. code on back of card: _______
Signature: ____________________________
In Case of Emergency please notify:
Name:_________________Phone: (day)___________ (eve)___________
Address:_____________________________ Relation:________________
City/State/Zip:________________________________________________
Trip Cancellation and Travel Insurance:
The deposit includes both a deposit for the trip land cost and full payment for trip cancellation and travel insurance. Please see the accompanying "Terms and Conditions/Insurance" area of the web site for the exact cost and details of this group discounted insurance. In our written material, please refer to the supplement entitled “About Our Trips/Booking Information”. If you choose not to accept this insurance, the entire deposit will be credited toward the trip land cost.
___ I accept the trip cancellation and travel insurance as offered
___ I decline the trip cancellation and travel insurance as offered
If you have lost your copy of our color catalog
never received one or want one sent to a friend
- give us a call or mail us this form.
Any
Questions? 1-800-786-1830 or
(415) 868-0585 or
e-mail: jhrj@riverjourneys.com
For
Further Information: Please phone us or fill out and mail us the following
form. We will send you a Trip Profile, which has detailed
information concerning daily itineraries, leadership,
trip qualifications, arrangements, reservations, waitlisting,
cancellation and refunds, air travel, tier-pricing, cancelled
trips, trip grading, covered expenses, age limits, insurance,
and educational credit. Most of this material has been
covered in the pages of this website.
Yes! I'd like
more information! Please send me detailed Trip Profiles
for the following trips:
Trip: __________________________
Trip: __________________________
Trip: __________________________
Trip: __________________________
Yes! I'd like
to have someone in your office call me.
Name_________________________________
Phone: (Day)_______________ (Eve)
_____________________
Please list any folks who might enjoy
our catalog:
Name:_______________________________________________
City/State/Zip:________________________________________
Name:_______________________________________________
City/State/Zip:________________________________________
How did you discover JHRJ? _______________________________
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