Eleanor registration | Author Fan Travel

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First name (as it appears on passport)*

Last name (as it appears on passport)*

Birthday*

Month

Day

Year

Address

Country/Region*

Address*

City*

Zip / Postal code*

Email*

Phone*

Other

Dietary restrictions, medical needs, etc.

If this is your first time traveling with us, please tell us how you found out about this trip?

Desired Payment Option *

Deposit Only ($350 per person)

Full Amount ($3882 per person)

Final payment due on or before January 10, 2027

Desired Payment Method*

Credit Card (by phone)

PayPal Invoice

Are you bringing a travel companion? **

Yes (Complete items marked * below)

No (Complete item marked ** below) (Single supplement $568)

*Full name of travel companion as it appears on Passport

*Travel companion's birthdate (MM/DD/YY)

*Will you be paying for your travel companion?

Yes

No (complete travel companion info below

*Companions Email

*Companions Phone

**Would you be interested in sharing a room with another participant?

Yes

No

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