Clone of TOUR SIGN-UP FORM

INDIANA ZUCKERMAN PHOTO TOUR SIGN-UP FORM
Name of photo tour or workshop*
Tour date*
Name (EXACTLY as it appears In your passport if this is an international tour)*
Gender*

MaleFemale
Name of spouse or family member also registering for this tour if applicable (EXACTLY as name appears in passport if international)
Gender

MaleFemale
Address*
Address
City, State, Code*
Country*
Email address*
Home phone*
Cell phone*
Birth date
Passport number (international only)
Date passport expires (Int'l only)
Passport number of 2nd person if applicable
Date 2nd passport expires (Int'l only)
Room request*

Prefer to share (if you snore or have other sleep issues that make it difficult for a roommate to sleep, please be considerate and opt for a single room). If a roommate is not available, you agree to pay the single supplement fee.I agree that if I choose to share a room on the tour, and a roommate isn't available, I will pay the single supplement feeWant single room and will pay the additional feeWill accept either a single room or will share
Emergency contact: Name, email, phone*
Deposit amounts

$500 for U.S. photo tour [transferable to another tour if due to Covid-related issues]$1000 for international photo tours [transferable to another tour if due to Covid-related issues]$3000 for Polar Bear photo tour only
PLEASE NOTE: WHEN YOU REGISTER FOR A PHOTO TOUR, INDIANA ZUCKERMAN SENDS DEPOSITS FOR HOTELS, GROUND TRANSPORTATION, AND LOCAL GUIDE SERVICES TO VARIOUS VENDORS ON YOUR BEHALF. THOSE FUNDS ARE OFTEN NOT REFUNDABLE. THEREFORE, WHEN YOU SIGN UP FOR A TOUR, IF YOU DECIDE NOT TO GO FOR ANY REASON, YOUR DEPOSIT AND FINAL PAYMENT CAN'T BE REFUNDED. WE CAN APPLY THOSE FUNDS TO ANOTHER TOUR, HOWEVER. THIS IS WHY INDIANA HIGHLY RECOMMENDS BUYING TRAVEL INSURANCE BECAUSE THIS PROTECTS YOUR INVESTMENT IN THE TOUR OR WORKSHOP.
IMPORTANT:

Indiana will send you an email with deposit instructions upon signing up for a tour. When you send a check, it must be made payable to 'Indiana Zuckerman' and sent to her address in Franklin, Tennessee (which she will give you in an email). If you wire the funds, Indiana's bank is First Horizon Bank, and the name on the account is Killer Stock, Inc. (this is the corporation she uses for tax purposes). Any other instructions asking you to send your payment to another address, another bank, or another company is from a hacker and definitely fraudulent. You can always verify the email you receive from Indiana asking for payment by emailing her or calling her at 615 260-2460.
Please list any physical or medical issues that Indiana should be aware of
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INDIANA ZUCKERMAN PHOTO TOUR SIGN-UP FORM

IMPORTANT: