A TAVOLA Program Registration Form - Friends of Spannocchia

A TAVOLA! Program Registration

Name(Required)

First Last

Full name as it appears on passport (if different from above)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Birthday(Required)

Nationality (on Passport)(Required)

Country

Food Allergies or Dietary Restrictions

Please state the degree of the allergy, if necessary.

This should be an individual who is not traveling with you on this trip.

Emergency Contact Name(Required)

First Last

Relationship(Required)

Emergency Contact Phone(Required)

Emergency Contact Email(Required)

Select Your Rooming(Required)

Rooming Partner

PAYMENT & CANCELLATION INFORMATION:

Balance due February 15, 2023. We will invoice you based on the current exchange rate and you can opt to pay by credit card online (subject to 3% processing fee) or by check mailed to our Portland, ME office.
Cancellation before January 30, 2023: 50% of deposit will be refunded.
Cancellation before February 15, 2023: 25% of deposit will be refunded.
Cancellation after February 15, 2023: No refund is available; travel insurance is highly recommended.

Signature of Participant(Required)

Program Deposit (USD)

Price:

Credit Card(Required)

Card Details

Cardholder Name

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