Name | Chris Colleran |
---|---|
Phone | (253) 318-5422 |
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? | Yes, but they are paying for themself seperately |
Please list your roommates that will be signing up seperately. Seperate names by a comma please. | Peggy Halstead is on wait list. If she doesn't make it, I am open to another roommate. |
Trip Participants | |
Number of participants that a deposit is being made for at this time: | 1 |
Person 1 Name | Christine T Colleran |
Person 1 Age | 57 |
Phone | 2533185422 |
Person 1 Email | Email hidden; Javascript is required. |
Payment Details | |
Total | $500.00 |
Credit Card | Visa XXXXXXXXXXXX8885 |
Credit Card Billing Address | 3536 S K ST Tacoma, Washington 98418 Map It |
Electronic Waiver | I consent |
Type your full name | Christine T Colleran |
Signature | |
Code | 4040 |
Class | Dolomites |