RESERVATION FORM

1Guest Information

2Category Selection

3Extension

4Deposit

Reserving Guest Information
To reserve your space, we first need the name of the person in your group placing the deposit. We’ll get the names of the rest of your group in the next section.
Please select your departure date*
- February 12 - 19, 2025
Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Contact Preference
Referral Code (if any)

Category Selection
We’ll do our best to make sure you get the category you want.
Primary Program Category*
Category Rates are per person based on double occupancy in U.S. dollars. Singles rates are based on single occupancy. Airfare not included unless noted otherwise.
Alternate Program Category
Guest Information
Now, let’s get to know the rest of your group. Please enter information for the remainder of your traveling party.
How many travelers in your group?*
Non-refundable deposit is $1,000 per guest. For single travelers, the Single category rate applies.
Guest #2*
First Last
Guest #2 Email
Please list this guest’s email address if you would like them to be included in all guest communication.
Guest #3*
First Last
Guest #3 Email
Please list this guest’s email address if you would like them to be included in all guest communication.
Guest #4*
First Last
Guest #4 Email
Please list this guest’s email address if you would like them to be included in all guest communication.

Total Deposit
Program non-refundable deposits are $1,000 per person.
If selected, Extension non-refundable deposits are $500 per person.
$0.00
Payment Method*
- Credit Card
- Check
Please mail your deposit check to:
Experi
PO Box 10576
Bainbridge Island, WA 98110

Please note your reservation will not be confirmed until your deposit is received. Please reference reserving guest name and program on check.
Billing Address*
Use Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card Information

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Terms and Conditions*
- I/we have read, understand, and agree to the full Terms & Conditions at http://experi.com/agreement/; and that Experi LLC is authorized to charge my credit card or receive payment via check for this non-refundable deposit
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