NameTakeo Kuraishi
Phone(425) 314-7900
EmailEmail hidden; Javascript is required.
How Many Deposits Total Today?How Many Deposits Total Today?, Qty: 1, Price: $500.00
Deposit StatementDeposits for trips are non-refundable unless the trip is cancelled
Are you interested in sharing a room?Yes
Do you know who your roomate/roommates are?No, I would like to be paired up by the trip leader
Trip Participants
Number of participants that a deposit is being made for at this time:1
Person 1 NameTakeo Kuraishi
Person 1 Age55
Phone4253147900
Person 1 EmailEmail hidden; Javascript is required.
Payment Details
Total$500.00
Credit CardVisa
XXXXXXXXXXXX1087
Credit Card Billing Address9303 NE 135th LN
Kirkland, Washington 98034
Map It
Electronic Waiver I consent
Type your full nameTakeo Kuraishi
Signature
Code4040
ClassDolomites