BirdsCaribbean Cuba Bird Tour Registration Form - 14-24 March 2018

Your Contact Information

Please complete this registration form (one per person) if you would like to join our Birdwatching Trip to Cuba, March 14-24, 2018. Any questions, please email trip trip leader, Lisa Sorenson (Lisa.Sorenson@BirdsCaribbean.org). Be sure to review the information on the Cuba Bird Tour webpage and PDFs.

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* 1. Contact information

Full name (exactly as it appears on your passport)

Name you wish to be called (if different)

Mailing address

City

State/Province

Zip/Postal Code

Country

Email Address

Cell Phone

Home Phone

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* 2. Endemic Birds of Cuba T-shirt preference: please indicate your preferred size and color. Note that we have "regular" t-shirts which fit both men and women and "ladies" t-shirts which have a slightly fitted cut and cap sleeves (slightly shorter sleeves). We'll do our best to match your preference.

	Small	Medium	Large	Extra Large	XX Large
Natural (regular)	Natural (regular) Small	Natural (regular) Medium	Natural (regular) Large	Natural (regular) Extra Large	Natural (regular) XX Large
Military green (regular)	Military green (regular) Small	Military green (regular) Medium	Military green (regular) Large	Military green (regular) Extra Large	Military green (regular) XX Large
Cardinal red (regular)	Cardinal red (regular) Small	Cardinal red (regular) Medium	Cardinal red (regular) Large	Cardinal red (regular) Extra Large	Cardinal red (regular) XX Large
Light blue (ladies)	Light blue (ladies) Small	Light blue (ladies) Medium	Light blue (ladies) Large	Light blue (ladies) Extra Large	Light blue (ladies) XX Large
Forest green (ladies)	Forest green (ladies) Small	Forest green (ladies) Medium	Forest green (ladies) Large	Forest green (ladies) Extra Large	Forest green (ladies) XX Large
Cardinal red (ladies)	Cardinal red (ladies) Small	Cardinal red (ladies) Medium	Cardinal red (ladies) Large	Cardinal red (ladies) Extra Large	Cardinal red (ladies) XX Large

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* 3. Please indicate if you prefer a single room or double room.

I want a single room if available. A single room supplement will be assessed (see field trip page)

I want to share a room. If no roommate is available, I accept that a single room supplement will be assessed. I plan to share a room (insert name below, we will assign you a roommate if you don't indicate one).

Roommate name

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* 4. Roommate notes:

I smoke.

I do not smoke.

I snore.

Other (please specify)

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* 1. Contact information

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* 3. Please indicate if you prefer a single room or double room.

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* 4. Roommate notes:

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* 5. How did you hear about this BirdsCaribbean bird tour?