Rendezvous in Provence

Jim and Dana Melton

P.O. Box 340 • Yucca Valley, CA 92286

Phone: 760 365.4552 • Email: james@jamesmelton.com

Website: www.FoodFusionTours.com

 Avignon, France • September 2017 (dates to be determined)

PARTICIPANT REGISTRATION FORM

(Complete a separate form for EACH participant)

Name ____________________________________________________________________

Address            ___________________________________________________________________

City/State/Zip     ___________________________________________________________________

Phone __________ Fax ____________ 

Email __________________________

Preferred method of communication?       Phone / Fax / Email

Price based on double/triple occupancy $5795* (2015 rates. 2017 rates to be advised.)

2015 rooms offered: (2017 lodging under consideration.)

1 triple with one twin, one queen bed

2 doubles with one queen bed

Available on a first come, first serve basis

*Price is per person and does not include air fare and travel to and from Avignon, France.

Sharing the room with ____________________________

Price based on single occupancy $6795* (2015 rates. 2017 rates to be advised.)

*Price is per person and does not include air fare and travel to and from Avignon, France.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Method of Payment:  Check     PayPal (Pay to: info@jamesmelton.com)

Make checks payable to: James Melton


Deposit $2,897.50 paid on _________________
(non-refundable)

Select your preferred group date below:

Fall dates are encouraged to be reserved by July 1, 2015

  September 20-27, 2015 / Final payment due 7/20/15 (non-refundable)

 * Final payment is non-refundable

See: www.FoodFusionTours.com for daily schedule, hosted meals and optional events.

Print Name: ­­­­­­­­­­­­­­­­­­­­­­­___________________

Signature: ____________________

A $2,897.50 non-refundable deposit is due at time of booking.  A deposit paid acknowledges and confirms that all terms, conditions and releases have been read, understood and agreed to herein. Balance is due in full 60 days prior to specific event start date and is non-refundable thereafter. Trip cancellation insurance which is available and recommended, air and ground transportation including transfers can be made through Twila Wernicke, Anderson Travel, c/o 1276 Otono Drive, Palm Springs, CA 92264, PH 760.327.4481, twilas.travel@verizon.net.
All reservations must be confirmed by James and Dana Melton, P.O. Box 340, Yucca Valley, CA 92286, PH 760.365.4552, james@jamesmelton.com. FoodFusionTours/James & Dana Melton and Anderson Travel/Twila Wernicke act solely as agents in arranging city-villa, hotels, transportation, sightseeing, events and other services, and assume no liability either domestically or internationally for injury, damage, loss or delay due to any act or default of any excursion provider or any supplier or any other company or person and FoodFusionTours/James & Dana Melton and Anderson Travel/Twila Wernicke also reserve the right to make substitutions equal in value, should conditions warrant such changes. There is a minimum of 6 people per group date required to operate each tour.

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