Reservation
Form
For
reservation information,please
call Bob Strohsahl (513) 541-8000,or email Bob at pastelguy aol.com.Mail reservation form and deposit to Great American
Art Works
Trip Information
Trip requested__________________Departure date_______________Trip
cost___________
Complete the
information below for each person
Name_______________________________passport number________________________
Date of
Birth_________________________ ¤
M ¤ F
Address____________________________________________________________________
City_________________________________state______________zip__________________
Country_____________________________phone__________________________________
Email______________________________________________________________________
Emergency
contacts__________________________________________________________
Space is limited !
Name______________________________passport number_________________________
Date of
Birth_________________________¤ M
¤ F
Address___________________________________________________________________
City________________________________state______________zip___________________
Country____________________________phone___________________________________
Email______________________________________________________________________
Emergency
contacts__________________________________________________________
Accommodations:If you are a couple would you prefer a
room with ¤ 2 beds ¤ 1
large bed
All single
guests will share a room with twin beds.Single
supplement is 800.00
USD.
Deposits : $ 500.00
USD per person x number of participants
= ____________total deposit.
Deposits
can be paid by personal check or money order,payable to Box Top Tours and mailed to Great
American Art Works
Balance : The balance
of your trip is due 90 days prior to departure and may be paid by check or
money order,in dollars USD. If the final payment is
not received when due,we
reserve the right to cancel the reservation.Prices
are in USD and are good for the 2006 season. Prices cover land costs only, not airfare .
Cancellation/refund
: Cancellation fees
are determined accordingly : 91 days prior to trip 100.00 USD ; 61-90 days
prior to trip 25% trip price ; 31-60 days prior to trip 50% trip price ; 0-30
days prior to trip no refund.Exceptions cannot be
made for any reason and there is no refund for arriving late or leaving a trip early.If we must cancel a trip ,all payments received to
date will be refunded and this constitutes full settlement.We
are not responsible for expenses incurred in preparation for any trips(even
cancelled trips),such as airline tickets,travel delays,flight cancellations or health problems. Travel
insurance is highly recommended,and
should be arranged by you.
Responsibility Clause : Domaine du
haut Baran(DDHB),and Box Top Tours,affliliates,successors,or
assigns is not liable for any negligent or willfull
act or failure to act,of any person,third
party or entity which is to,or provides goods or
services including but not limited to ; transportation companies,equipment
suppliers,food service providers ect
…I acknowlage that Iam
voluntarily participating in this trip with the knowlage
of the inherent risks and dangers involved including but not limited to :
negligence on the part of DDHB and Box Top,physical exertion,forces of nature,transportation
failures,consumption of alcohol,risks
with food or impure water,civil unrest,criminal
activity,wild or other animals,failure
of equipment,accident or illness without means of evac,or availability of medical supplies or services or
adequacy of medical attention once provided,and
lost/stolen/or misplaced luggage or property.I
hereby release and discharge forever DDHB and Box Top Tours from and
against any and all liability arising from my participation in this trip.I agree that this release is legally binding upon me,all members of my family and all minors travelling with me,my and their heirs,successors,assigns,and
legal representatives,it being my intention to
release DDHB,Box Top Tours,successors,affiliates,and
assigns from any and all liability to the max extent by law.I
acknowledge that to participate,I will require a
legal passport,and that DDHB reserves the right to
remove me or any participant disruptive.
_________________________________________________
_____________________________________________
signature
signature