BOOK NOW - REGISTRATION FORM > back/close
	After Contacting Us for space availability, please fill out this form, print and sign it, then mail or fax to AdventureWomen. 1. Click your mouse in the "Name" field on the form below. 2. Fill in the information, using the "Tab" key to go from field to field. 3. Print out your completed form and sign it. (This form cannot be emailed -- we need your signature.) 4. All fields are required, except for fax number.	Send this form to: AdventureWomen, Inc. 300 Running Horse Trail Bozeman, MT 59715 FAX: 406-587-9449 YOU ARE HIGHLY ENCOURAGED TO PURCHASE TRIP CANCELLATION INSURANCE TO COVER EMERGENCY SITUATIONS. (Information will also be sent to you in your registration packet.) TRAVEL INSURANCE For travel and trip cancellation insurance, we recommend Travel Insured International. You can purchase a comprehensive protection plan, or a post-departure protection plan, in one of three ways. 1. Go to 2. Call 800-243-3174. Mention AdventureWomen and our agent number, 42360. 3. Fill out the form in the Travel Insured brochure you receive in your trip registration packet. AdventureWomen and 42360 are printed on the back of the brochure.
Name: Address: City, State, Zip: Email: Day Phone: Age:   General   Health:   Dietary   Needs:   Evening Phone: Fax: Trip Name: Trip Date: Name on Card: Card type: We accept checks, VISA and MasterCard only. A limit of $1500 per trip can be charged to a credit card. The balance over $1500 must be paid by check (or send a check from your credit card company). Card Number: Security Code: 3 digit Card Validation Code on back of credit card Expiration Date: Amount: (up to $1500) Where did you hear about us? Your size in a women’s pre-shrunk cotton t-shirt: (M, L, or XL) Would you like to receive our email newsletter?(please enter yes or no and be sure to include your email address above if yes) I HAVE READ AND UNDERSTAND THE REFUND AND NO SMOKING POLICIES: _________________________________________    __________________ Signature Date