WORLDVIEW PHOTO TRIP REGISTRATION FORM

WorldView Photography                                                                                    [email protected]           
1455 Arden View Drive                                                                                               Tel: 651-481-8559                                       
Arden Hills, MN 55112                                                                                    

Photo Trip Start Date _____/____/________

Your Name ________________________________________ Today’s Date _________________________

Additional Participant Name _______________________________________________________________

Your Street Address  ____________________________________________________________________

City ___________________________________________ State _________ Zip _____________________

Home Phone (          ) _________________________ Mobile (         ) _____________________________

Email: ___________________________________ Fax  ________________________________________

How did you learn about our photo trips? ____________________________________________________

I am a ____ smoker   ____ non-smoker  (needed to make appropriate lodging reservations)

Enclosed is my total deposit of  $ _________   Make check or money order to: WorldView Photography. For
international wire transfers, contact WorldView directly.

Contact person in the event of an emergency:

Name _________________________________ Address _______________________________________

Telephone ____________________ Cell Phone _______________________

I (we) have read and accept the Registration Information and specifically the Cancellation Policy, Health &
Physical Condition, Assumption of Risk and Responsibility statements.

Signature ______________________________________ Date _______________________________

Signature ______________________________________ Date _______________________________

Please mail this form along with your deposit check to the address above. Thank you!