Trip Application DT2, Train + Bus to the Loire — 2012

Only one application per group of up to 8 people need be completed.
Please designate one traveller as our contact, and complete this application in that traveller’s name.  Information on the other travellers can be provided at the bottom of the application. 
If some portion of the group wishes to travel locally by bicycle, a separate Train + Bike form must be completed for those passengers.
Bold fields (also designated with a *) are required.
*Please tell us if this sign-up sheet is for ... a couple, family, or group . . . OR: a solo traveller
*Trip Date

1. May 19 (Sa)
2. May 20 (Su)
3. May 29 (Tu)
4. June 5 (Tu)
5. June 12 (Tu)
6. June 23 (Sa)
7. June 24 (Su)

8. July 7 (Sa)
9. July 8 (Su)
10. July 17 (Tu)
11. July 24 (Tu)
12. July 31(Tu)
13. August 7 (Tu)
14. August 14 (Tu)

15. August 21 (Tu)
16. August 28 (Tu)

OR...
Independent departure, on (fill in date):

*Family Name
*First (Given) Name
*Birth Date (dd/mm/yyyy): *Gender:   M   F
Postal Address:
e.mail
Home Phone
(please include country code)		 Mobile Phone
which I will be carrying in Europe
*How can we contact you in the days prior to the trip? By e.mail
On my mobile phone
On my home phone
 “I am / we are travelling, and cannot reliably be reached.”
Check one, if applicable: “I do not need train tickets to or from Blois, because... ...I will use my railpass (I will nonetheless be on your train)” ...OR...
...I will reach Blois on my own.” (by car, coming from elsewhere...)
*How Did You Hear of Us? “I have travelled with you before”
“I have rented (or am renting) one of your Paris guest apartment(s)”
Google search.  If you remember, please tell us whether via a free search . . . or an ad .
“Elsewhere on the internet.”  We would be grateful if you could take a stab at where:
“From a friend / acquaintance / guy on bench.”  If you happen to know a name, we’d love to thank him...
Other (please elaborate if you can):

If this sign-up form is for more than one person, please give us the following information for the others.
Other
Travellers
Traveller Name
(as it appears on passport)
Age-Based Discounts
(if applicable)
Birth Date
(only necessary to
claim a discount)
dd/mm/yyyy
Railpass holder,
or otherwise reaching Blois by own means
Traveller 2 Under 12. . .12-25. . .60+
Yes
Traveller 3 Under 12. . .12-25. . .60+
Yes
Traveller 4 Under 12. . .12-25. . .60+
Yes
Traveller 5 Under 12. . .12-25. . .60+
Yes
Traveller 6 Under 12. . .12-25. . .60+
Yes
Traveller 7 Under 12. . .12-25. . .60+
Yes
Traveller 8 Under 12. . .12-25. . .60+
Yes
Comments
Thank you! 
If you are continuing with one of our trip extensions, please give us information on what you would like here.
To register for the trip, please send us one or both of these forms, with your payment.
You may do so by converting the forms to .pdf format and e.mailing them, or by printing and either faxing or posting them to either of our offices.  It is not currently possible to submit them on line, but we are working on it!
To send as a pdf from an Apple computer, select the “Print” command from the “File” menu.   In the bottom left corner of the “Print” dialogue box, select “Save as a pdf.”   Then attach the .pdf file to your e.mail.