Name
Enter you first and last name
Second Name
Address
City
State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -Terr.- AS FM GU MI PR VI Zip Code
Country
Phone(s)
Alternate Phone
Email
Enter the name of the Workshop or Vacation Package
Arrival Date
Lodging
Fee
$ (1)
Total fee less any discounts (explain in the comments).
Services
$ (2)
Amount for additional services (explain in the comments).
Total
$ (3)
Enter the total of (1) plus (2).
Payments
$ (4)
If you are paying less than 4 months prior to the arrival date, enter the Total in (3). Otherwise, enter 50% of the Total in (3).
Due
$
Enter the value in (3) minus the value in (4).
Payment Method
Bank Wire Check Make check payable to 'Charles Ofria'. If you prefer to pay by bank wire I will send you instructions.
I have read and agree to the Terms & Conditions.
Authorized Signature
Date
Mail to:
Sojourn In Italy 2510 Las Positas Road Santa Barbara, CA 93105