Sign-up Form

Name (as on passport):

Address 1: 

Address 2: 

City:  ,     State:       Zip: 

Phone:     E-mail: 

Additional Traveler: 

You need a valid passport (there is no visa needed to the Czech Republic). Please verify that the name used is the same as the name on your passport!

All land arrangements as indicated on the itinerary:
$4,175  x number of travelers. 

Land arrangement total: 

$700.000 deposit per traveler with sign up (after March 10, full price): 

Total (minus deposit) due by March 10, 2012: 

Date: 

Total fee is non-refundable 75 days out.
Prior to this time the fee will be refunded minus $400.00 per traveler for administrative cost.

Please check on your travelers insurance. It is mandatory. We can help you with your travelers insurance.

Please make checks payable to Frank Fristensky and mail (including this form) to 169 Oak Drive, Durango, CO, 81301. Please register early in order to secure a less expensive flight and to reserve our hotels.

For signed up travelers more details about the Czech Republic and additional pertinent trip information will follow.