Costa Rica Workshop registration

Jan 31‚ Feb 10, 2003Workshop 0304
Please complete the form below andSubmit it.  Once it has been received we will be in contact with you via email with information on where to send your deposit / reservation payment, as well as other details.
If you are coming together with a spouse or other person please fill in their name as appropriate. Remember, the cost of this trip is the same for each person, whether they are a workshop participant or not.
Accommodations are two person to a room. If you will be traveling alone and would like a private room there will be a supplementary charge of $650 (subject to availability).
Please complete each of the following.
My Full Name: required
Name of second person:(Leave blank if traveling alone).
Is the second person also a photographer?(Leave blank if traveling alone).
E-mail Address: required
Daytime Phone:
Home Phone:
Postal Address: 
I will probably be working mostly in:35mm Medium Format DigitalTo choose more than one, use Ctrl...