Cuba Cruise 2018

Santiago - Guantanamo July 20-28

Registration Form
If you are inclined to participate, please complete a form for each traveler as soon as possible and no later than April 30, 2019. Confirmation of particpation requires payment of a contribution of $150.

-- John McAuliff
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nationality
Passport number
Expiration date

MonthDayYear
Date
Birth date

MonthDayYear
Date
Birth place
Names of persons who will accompany you
Email
example@example.com
Phone Number

Area CodePhone Number
Level of interest

Definitely want to be part of this program. Count me/us inSeriously thinking about it, send me updates
Accomodations in Santiago

I /we will stay in a hotelPlace me in a bed and breakfast near the hotel ($30 - $35 per night)I will arrange for myself with AirBnB, Trip Adviser, etc.
If you prefer a double room, with whom?
Optional extensions

If possible, add Holguin and Baracoa (July 28 - Aug 1)Independent travel after the scheduled programOther
I will contribute $150 to the Fund for Reconciliation and Development to confirm my participaton [On line at http://tinyurl.com/donateffrd By check to FFRD, 64 Jean Court, Riverhead, NY 11901]

now to reserve my place (refundable only if program not confirmed)as soon as the program costs are confirmedno later than May 30th
Personal background (current or former occupation, special interests and skills, experience in Cuba, etc.)
Health or mobility issues, dietary requirements
Questions or comments
Should be Empty:

Santiago - Guantanamo July 20-28