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Reservation Form

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Please select your departure date
- October 15 - 22, 2026
How many travelers in your group?*
Your Full Name (as in your passport)*
First Name Middle (enter N/A if no middle name) Last Name
Date of Birth*
MM slash DD slash YYYY
Please describe if you have any of dietary, medical or mobility requirements*
Email*
Phone*
Second Guest Name
First Name Middle (enter N/A if no middle name) Last Name
Second Guest Date of Birth
MM slash DD slash YYYY
Second guest: Please describe any dietary, medical, or mobility requirements you may have
Second Guest Email
Primary Program Category*
Primary Program Category*
Joining us for the Pre-trip?
- Yes
- No
Preferred Category for Pre-trip
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How many guests joining the Pre-trip?*
Joining us for the Pre-trip?
- Yes
- No
Preferred Category for Pre-trip
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How many guests joining the Pre-trip?*
Joining us for the Extension?
- Yes
- No
Preferred Category for Extension
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How many guests joining the extension?*
Joining us for the Extension?
- Yes
- No
Preferred Category for Extension
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How many guests joining the extension?*
Total Deposit
Program non-refundable deposits are $1,500 per person.
If selected, non-refundable deposits are $750 per person for the Extension and $250 per person for the Pre-Trip.
$0.00
Terms and Conditions*
- I/we have read, understand, and agree to the full Terms & Conditions and Agreement with Experi LLC at http://experi.com/agreement/, including the cancellation and refund terms; and that Experi LLC is authorized to charge my credit card or receive payment for this non-refundable deposit.
Payment Method*
- Check
- Bank Transfer (ACH)
- Credit Card
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.
Credit Card

Reservation Form

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