APPLICATION FORM
PLEASE SIGN ME UP!!!
I want to join the following tour.
Enclosed is my deposit check for $500 for each place reserved.
You may also charge your $500 deposit on a credit card using our secure PayPal account.
Please print this form, sign, date,
and return it to Mythic Travel today.
Spaces are limited.
____Sufi Solstice, December 13 through December 23, 2007
____Mary and the Divine Feminine, August 4 through August 18, 2008
____Jewish Life, ___________________________________ (fill in date)
____A Dip into the Past , ___________________________________ (fill in date)
____Between the Great Rivers, ______________________________________________ (fill in date)
____Standing Stones: Menhirs and Dolmens, ___________________________________ (fill in date)
____Anytime Departure, __________________________________________ (fill in tour and dates desired)
First Name___________________________________________
Last Name___________________________________________
Address_______________________________________________Apt: ________________
City__________________________________________________ State_______ Zip___________________
Email_______________________________________
Telephone ( ____ ) _____________________ (Day); ( ____ ) ____________________________ (Eve)
Release of Liability
I acknowledge that I have voluntarily applied to participate on the tour designated on this application. I hereby release and discharge Mythic Travel and its agents and employees from and against any and all liability arising from my participation in the tour. I have carefully read and fully understand the contents and legal ramifications of this agreement, especially noting those regarding cancellation and refund policies, and limitation of liability.
SIGNATURE_______________________________________________________
DATE______________________________________
Please make checks payable to Mythic Travel.
655 Bayview Dr. Aptos, CA 95003, USA
(831) 688-6550
email: mythictravel@gmail.com