To confirm a reservation it is necessary that this form is filled in and signed, then mailed to us with the necessary payment. Enrollment requests are processed on a first-received basis. Due to enrollment limitations we may not be able accept all requests for enrollment. In this case we may offer you alternate dates which you may elect to accept or decline within seven days.
PARTICIPANT INFORMATION
(List all participants and non-participants separately and include with this form)
Contact Name________________________________________________
Address_____________________________________________________
City__________________________ State__________ Zip Code________
Country______________________________________________________
Telephone-Day_______________ Telephone-Evening_________________
Email__________________________ Fax__________________________
Emergency Contact phone number: ____________________________
Special or dietary needs:_____________________________
*I have read and agree to the Enrollment Terms & Conditions (See below.)
Signature (required) X _________________________________________________
BOOKING PERIOD
__From arrival in Fira, Santorini Wednesday September 28, 2011 to departure Wednesday October 5, 2011.
Preffered Hotel (Avalibiltiy limited): ____ (note: Other hotels may be used.)
Toscana Americana "Painting the Landscape en Plein Air in Santorini" Price Calculation
Special Hotel Nissos Thira Plan: Based on availibility.
Plan A: Seven days/nights private room w/Group Meal Plan* (GMP) ...
....$2999.00 single occupancy, 1 participant
Plan B: One-week shared room w/GMP (2 participants).........$5798.00 double occupancy
Plan C: Seven days/nights private room without meals included......$2649.00 single occupancy, 1 participant
Plan E: One-week, 1 participant & 1 non-participant, w/GMP.$5298.00 double occupancy
Plan G: One-week, each added non-participant, w/GMP
....$2499.00 single occupancy
Plan H: One-week, each added non-participant, without meals included
....$2149.00 single occupancy
*Group Meal Plan (GMP): Includes daily lunch, dinner, wine tasting.
Cliffside Hotel Loucas: based on availability. (Note: Requires walking up & down many steps)
__Single add $129.00 per person per night to the above prices.
__Double add $65.00 per person per night to the above prices.
Total Due: $_______________ (Payment due in full by June 28, 2011)
US$250.00 deposit per person due with enrollment form.
Total Deposit Due: $_________
Preferred Payment Method (See Enrollment Terms & Conditions below)
Checks accepted only. Make checks payable to: "Patrick J. Mahoney TA"
Authorized Signature________________________________________
Mail completed form to:
"Painting the Landscape en Plein Air in Santorini" 2011
Patrick Mahoney/TA
367 West Broadway
Gardner, MA 01440
USA
All enrolled participants will recieve written confirmation and further workshop information. This workshop is offered based on a minimum number of 8 workshop participants. Toscana Americana may cancel this workshop if the minimum number of 8 workshop participants is not met 90 days prior to intended workshop start date. In this case alternate dates may be offered or all payments returned.