Talon Tours

Talon Tours
DARIEN EXTENSION REGISTRATION – PANAMA 2018

May 27^th to 31^st.
Cost: $1,575.00 Per person (Double Occupancy) *

$1,775.00 Per person (Single Occupancy) *
Name (As shown on passport)______________________________________________
Address________________________________________________________________
City_________________________ State_____________ Zip Code_________________
Email__________________________________________________________________
Telephone______________________________________________________________

• 
  __I wish to share a room. The name of my roommate is:____________________
  

Address if not the same _____________________________________________
__________________________________________________________________

• 
  __I wish to have a room alone.
  
• 
  Occupation________________________________________________________
  
• 
  Date of Birth ______________________________________________________
  
• 
  Do you smoke? ____________________________________________________
  
• 
  Dietary preferences ________________________________________________
  
• 
  In case of emergency please notify _____________________________________
  
• 
  Any medical information we should be aware of ________________________
  

__________________________________________________________________
Deposit: $500.00 Balance due by April 1^st, 2018
Please send registration form and payment, made payable to Talon Tours, to:
509 Jack London Drive, Santa Rosa, Ca. 95409

PH [phone]

E-mail [e-mail]

www.talontours.com
* Tour cost is based upon a minimum group size of four participants.