TOUR SIGN-UP FORM

JIM ZUCKERMAN PHOTO TOUR SIGN-UP FORM
Name of photo tour or workshop*
Tour date*
Name (EXACTLY as it appears In your passport if this is an international tour)*
Gender*

MaleFemale
Name of spouse or family member also registering for this tour if applicable (EXACTLY as name appears in passport if international)
Gender

MaleFemale
Address*
Address
City, State, Code*
Country*
Email address*
Home phone*
Cell phone*
Birth date
Passport number (international only)
Date passport expires (Int'l only)
Passport number of 2nd person if applicable
Date 2nd passport expires (Int'l only)
Birth date of second person if applicable
Room request*

Prefer to share (if you snore or have other sleep issues that make it difficult for a roommate to sleep, please be considerate and opt for a single room). If a roommate is not available, you agree to pay the single supplement fee.I agree that if I choose to share a room on the tour, and a roommate isn't available, I will pay the single supplement feeWant single room and will pay the additional feeWill accept either a single room or will share
Emergency contact: Name, email, phone*
Deposit amounts

$1500 for international photo tours$1000 for U.S. domestic tours & workshops
PLEASE NOTE: WHEN YOU REGISTER FOR A PHOTO TOUR, JIM ZUCKERMAN SENDS DEPOSITS FOR HOTELS, GROUND TRANSPORTATION, AND LOCAL GUIDE SERVICES TO VARIOUS VENDORS ON YOUR BEHALF. THOSE FUNDS ARE OFTEN NOT REFUNDABLE. THEREFORE, WHEN YOU SIGN UP FOR A TOUR, IF YOU DECIDE NOT TO GO FOR ANY REASON, YOUR DEPOSIT AND FINAL PAYMENT CAN'T BE REFUNDED. WE CAN APPLY THOSE FUNDS TO ANOTHER TOUR, HOWEVER. THIS IS WHY JIM HIGHLY RECOMMENDS BUYING TRAVEL INSURANCE BECAUSE THIS PROTECTS YOUR INVESTMENT IN THE TOUR OR WORKSHOP.
IMPORTANT:

Jim will send you an email with deposit instructions upon signing up for a tour. When you send a check, it must be made payable to 'Jim Zuckerman' and sent to his address in Thompson's Station,, Tennessee (which he will give you in an email). If you wire the funds, Jim's bank is First Horizon Bank, and the name on the account is Killer Stock, Inc. (this is the corporation he uses for tax purposes). Any other instructions asking you to send your payment to another address, another bank, or another company is from a hacker and definitely fraudulent. You can always verify the email you receive from Jim asking for payment by emailing him or calling him at 615 414-7644.
Please list any physical or medical issues that Jim should be aware of
Should be Empty:

JIM ZUCKERMAN PHOTO TOUR SIGN-UP FORM

IMPORTANT: