Enrollment Form
(Please print, complete and mail this form.)
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 acept 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 form)
Contact Name_______________________________________________
Address_____________________________________________________
City__________________________ State__________ Zip Code________
Country______________________________________________________
Telephone-Day_______________ Telephone-Evening_________________
Email__________________________ Fax__________________________
Emergency Contact phone number: ____________________________
Special or dietary needs:_____________________________
Signature (required) X _________________________________________________
BOOKING PERIOD(please choose)
__ From arrival in Cortona Saturday October 25, 2008 to departure Saturday November 1, 2008.
"Take Flight: Discover Your Creative Wings through Mixed Media Painting in Tuscany" Accommodation Chioce & Price Calculation
__Special Hotel Oasi Plan: Based on availability.
$2749.00 per person Workshop Participant one week w/ private room/bath & Group Meal Plan.
$2649.00 per person double occupancy/shared room for two Workshop Participants.
$2449.00 per person Workshop Participant one week w/ private room/bath, no meal plan.
$4598.00 double occupancy/shared room for one workshop Participant and one Non-participating guest.
$2249.00 per person Non-Participant one-week w/ private room/bath, w/Group Meal Plan.
$1949.00 per person Non-Participant one-week w/ private room/bath, no meal plan.
$1949.00 per person Non-Participant one-week w/ private room/bath, no meal plan.
*Group Meal Plan (GMP): Includes daily Italian breakfast, lunch, dinner, wine tasting.
Four-star Villa Marsili, Hotel San Luca & Hotel San Michele quoted upon request
Total Due: $_______________ (Payment due in full by August 25, 2008)
US$250.00 deposit per person due with enrollment form. If enrolling after August 25, 2008 please remit payment in full.
Checks accepted only. Make checks payable to: "Patrick J. Mahoney TA"
Authorized Signature________________________________________
Mail completed form to:
"Take Flight: Discover Your Creative Wings" 2008
Patrick Mahoney/TAW
367 West Broadway
Gardner, MA 01440
USA
All enrolled participants will receive written confirmation and further workshop information. This workshop is offered based on a minimum number of participants. Toscana Americana may cancel this workshop if the minimum number of participants is not met by August 25, 2008. In this case all payments will be returned.