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First Name *

The name you enter above must be exactly as it appears or will appear on your passport.

Middle (if applicable)

Last Name *

The name you enter above must be exactly as it appears or will appear on your passport.

Email *

Phone *

Date of Birth (Day/Month spelled out/Year) *

Country of Birth *

Mailing Address *

Number & Street

City *

State or Province *

ZIP/Postal Code *

Country

If not USA

Passport Country of Issue *

Passport Number

If you do not have a passport at this time, please submit this form now and provide BMSJ with your passport information after you receive your passport.

Passport Issue Date (Day/Month spelled out/Year)

Passport Expiration Date (Day/Month spelled out/Year)

Your passport expiry date should be more than six months after the ending date of this tour.

I am *

Female

Male

I am requesting: *

Double accommodation

Single accommodation

Couple or Family of Two

(Optional) My roommate will be:

Body Mind Spirit Journeys will try to match you with a suitable roommate if left blank and Double accommodation selected.

I am requesting: *

Private ensuite bathrooms (limited availability)

Shared ensuite bathrooms

(Optional) I also plan to sign up for the May 30-June 14 Sacred France tour, and please send me the link to register

Yes

(Optional) I am requesting an extra night accommodation before the tour at the Radisson Blu

Yes

I am (or soon will be) fully vaccinated for COVID-19 *

Yes

(Optional) My special dietary requirements are:

Most requests can be accommodated, but we must know in advance, and additional costs may be incurred.

Optional Message

If you have physical limitations that require special attention, please describe here. (Most situations can be accommodated, but we must know beforehand in order to make arrangements, and there may be additional costs.) [FRANCEWRITERS]

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Registration for France Writers Retreat