Note: Please submit a separate registration form for each person and trip.



Home Phone: Cell Phone: Email:

Emergency Contact:

Please enroll me on the following trip: ___________________________________________________

Enclosed is my deposit of $ 1,000.00 (Please make check payable to Les Liaisons Délicieuses.)
I understand that the balance is due 90 days prior to the beginning of the program.

______I will share a room with _________________________________________________________
______I wish to share a room with another traveler, if possible.
______I prefer single accommodations and am willing to pay the supplement.

Reservations are confirmed only on receipt of the required deposit. The balance is due 90 days prior to the beginning of the program.

All cancellations must be received in writing. Cancellations after receipt of deposit and more than 60 days prior to departure forfeit the deposit. There is no refund of any fees paid for cancellations within 60 days of departure. Trip interruption/cancellation insurance is strongly recommended. In the event that Les Liaisons Délicieuses cancels the trip, we will make a full refund.

I, the undersigned, understand and agree that Les Liaisons Délicieuses and its representatives do not accept any liability for any injury, loss, accident, delay, or damage to or in respect to any person participating in their tours. Les Liaisons Délicieuses and its representatives shall not be responsible for any expenses or liability resulting from labor disputes, government restraints, weather conditions, sickness, or any other cause beyond their control. Les Liaisons Délicieuses and its representatives reserve the right to cancel any tour prior to departure for any reason (including insufficient number of participants) or to change itineraries and/or to substitute services of equal quality without prior notification.

______ Yes, Les Liaisons Délicieuses may share my contact information with other participants of this trip.

Signature _________________________________________ Date ________________________

Please mail completed form along with deposit check made out to Les Liaisons Délicieuses to:
Patricia Ravenscroft, c/o Raak; 3323 Legation St. NW, Washington, DC 20015 Phone: 202-549-7913