Name | Takeo Kuraishi |
---|---|
Phone | (425) 314-7900 |
Email hidden; Javascript is required. | |
How Many Deposits Total Today? | How Many Deposits Total Today?, Qty: 1, Price: $500.00 |
Deposit Statement | Deposits 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 Name | Takeo Kuraishi |
Person 1 Age | 55 |
Phone | 4253147900 |
Person 1 Email | Email hidden; Javascript is required. |
Payment Details | |
Total | $500.00 |
Credit Card | Visa XXXXXXXXXXXX1087 |
Credit Card Billing Address | 9303 NE 135th LN Kirkland, Washington 98034 Map It |
Electronic Waiver | I consent |
Type your full name | Takeo Kuraishi |
Signature | |
Code | 4040 |
Class | Dolomites |