Registration for Leonids Meteor Storm Expedition, 2001 Nov. 14-20
Information/Connecting flights/Options
Please print this form to fax or mail your registration.
Name(s): _________________________________________________ as on passports
__________________________________________________________________________
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Address: _________________________________________________________________
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Day Phone: __________ Eve Phone: __________E-mail: _______________________
This reservation is for ____ person(s). I (we) wish to share a room with ____
other person(s). Please consider the criteria below for my (our) roommates.
(You may specify roommate(s) by name, or we can match people by sex & smoking preference.)
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Airline preference: Asiana___ Continental___ Making own arrangements_______
Hotel preference: Sun Route___ Condo___ Outrigger: Standard Ocean View_____
Outrigger: Deluxe Ocean View___ Ocean Front___ Voyager Club Ocean View_____
Connecting flights needed from ____________________________________ airport.
Interested in Extension Trip to: ___________________________________________
Interested in Travel Insurance? (separate payment required)Yes__ No__Maybe__
“I have read and understand the disclaimers for this expedition, and I (we) agree
to those conditions.”
Signature: ____________________
SEND THIS FORM with full payment to:
Eclipse Edge Expeditions/L01
PO Box 15186
Chevy Chase, MD 20825-5186
Registration for Leonids Meteor Storm Expedition, 2001 Nov. 14-20
Payment and ID Badge Form
[Entries below describe payment for one registration code, corresponding to one hotel room. Others paying separately who will share the same room should fill out a separate form. Please send multiple forms if paying for more than one registration code.]
Name(s):_______________________________________________________________________
(give names and city exactly as they should appear on ID badges during the expedition; include ages of children under 12)
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City (for ID badges on expedition):____________________________________________
Deposit at $500 per person (circle one): Single Double Triple $________________
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Credit card coupon for payments:
Payments may be made via check or money order drawn on a U.S. bank, or by Visa or MasterCard credit card. Your authorization for credit card payment may be made by phone (360/504-1169), fax (866/758-3792), mail (this form), or E-mail (
______ ________________________ _________ _______________________
Amount Credit Card # Exp. Date Signature
Mail to: Eclipse Edge Expeditions/L01
PO Box 15186
Chevy Chase, MD 20825-5186