2008 Vergilian Society Summer Programs

2008 Vergilian Society Summer Programs
Application Form:

Consult www.vergil.clarku.edu for itineraries

Please fill out this form and submit it.

First name: MI: Surname:

Address 1:

Address 2:

City: State/Province: Zip Code:

Country:

Phone number:

E-mail:

Academic affiliation: Name of institution

Vergilian Society trips include a great deal of walking, much of it over uneven ground and occasionally in spots offering little shade. Do not sign-up if you have a condition that would make participation difficult or which would be aggravated by walking or heat.

I have a condition which would limit my ability to participate in the program. yes or no

I have a medical plan which will cover me while traveling (if needed). yes or no

Prices for the programs are based on double occupancy. All Vergilian Society accommodations are non-smoking. Hotel rooms are double occupancy usually with bath.

If possible, I would prefer to room with

First name: MI: Surname:

I would prefer a single accommodation (with surcharge) if available. A limited number of singles may be available at the Villa. yes or no

Program Fees (not including transatlantic airfare)

Please fill in the name of the program for which you are registering (dates do not include transatlantic travel):

I wish to sign up for
I wish to sign up for a single supplement

I have/will send a check for $750 (Non-refundable deposit of $550 and a required tax deductible contribution of $200.)

I will pay via the Internet, using a credit card.

I understand that, unless the program is cancelled, my deposit is non-refundable.

I will pay /have paid the entire amount at this time.

By submitting this application form I agree that neither the Vergilian Society, Inc., nor its agents will be responsible for any loss, injury, or damage to me or to my belongings or otherwise in connection with any accommodation, transportation or other services or resulting directly or indirectly from any occurrences beyond their control including breakdown in equipment, labor strikes, or natural disasters. I declare that I am aware of the program description, and understand that slight modifications in the itinerary may occur. I understand that all my money will be refunded if there is insufficient enrollment.

I understand that this trip may include some walking over uneven terrain. I acknowledge that it is my responsibility to alert the tour directors when I feel that it would be better that I not participate in a particular segment of an outing.

I understand that the first and last day of all the Italy-based trips are tour days, and that departure and arrival flights cannot be planned for those days.

I understand and agree to the terms.

 

Make checks (payable in U.S. funds) to The Vergilian Society. Send application form and payment to:

Thank you :