2023 IPPS Registration

IPPS International Tour Registration
October 18, 2023 - October 28, 2023
Short Tour
October 23, 2023 - October 28, 2023

Southern Region Conference
October 26-30, 2023
Pre-registration for the 2023 IPPS International tour is currently full. Please email Donna Foster at scplant@bellsouth.net to be added to the waiting list.

Do Not fill in the form below.

________________________________________________________
Lead Name*

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Nationality*
Passport Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Phone*

Country CodeArea CodePhone Number
Email*
example@example.com
Company Name*
Member of IPPS?*

YesNo
If yes, what IPPS region?*
Emergency Contact*
name and telephone number
Jacket Size
Accompanying Person?*

YesNo
Accompanying Person Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Country CodeArea CodePhone Number
Attendee 2 Email
example@example.com
Attendee Emergency Contact
name and telephone number
Jacket Size
Additional Person

First NameLast Name

Accommodations*

	Number of People	Accommodation Required
Full Tour 18-28 October
Short Tour 23-28 October

$500 per person deposit required.
The deposit is not refundable but it is transferable until April 15, 2023.

* If you would be prepared to share a twin room with another person traveling on their own please email scplant@bellsouth.net to make this request. PLEASE NOTE: it may not be possible to find someone to share with but we will make every effort to help you with this request.
Registration Options*
prevnext( X )
Deposit$500

People

Full Tour: Double Occupancy$3,400
per person

Quantity

Full Tour: Single Occupancy*$4,695
per person

Quantity

Short Tour: Sharing$2,495
per person

Quantity

Short Tour: Single*$3,350
per person

Quantity

Total $0.00
Additional Information (special diet - vegetarian / gluten free / vegan), wheelchair/mobility aids, hotel or coach requests etc.):
Will you be driving a vehicle?*

YesNo
By signing this booking form, I certify that all the information above is correct, and that I understand I must have travel insurance in place before I travel which covers the whole period of travel.*

Name of person completing this booking form Clear
When you click Submit you will be taken to PayPal to complete your transaction. A PayPal account is not required.
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IPPS International Tour Registration