NameChris Colleran
Phone(253) 318-5422
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?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 NameChristine T Colleran
Person 1 Age57
Phone2533185422
Person 1 EmailEmail hidden; Javascript is required.
Payment Details
Total$500.00
Credit CardVisa
XXXXXXXXXXXX8885
Credit Card Billing Address3536 S K ST
Tacoma, Washington 98418
Map It
Electronic Waiver I consent
Type your full nameChristine T Colleran
Signature
Code4040
ClassDolomites