Aper Tours Digital and FilmPhotography Workshops Registration Form ============================================================ Make Checks Payable To: DIETZ PRODUCTIONS, INC. PMB 525 220 N.Zapata HWY Laredo, TX 78043-4464 CREDIT CARDS ARE NOT ACCEPTED. FINAL PAYMENT MUST BE VIA CASHIER'S CHECK OR CASH. ============================================================ Date of Application: ____________________________________ Number of spaces would you like to reserve: ____________ Date of session you wish to attend: ____________________ The total of your deposit: ____________________ Name(s) of person(s) to attend the workshop? ____________________________________________________________ Your complete address: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Your home and daytime phone numbers: Home: ___________________________ Daytime: ___________________________ ************************************************************ I HEREBY CERTIFY THAT I HAVE READ AND UNDERSTAND ALL TERMS, CONDITIONS, RESPONSIBILITIES AND RISKS OF PARTICIPATION IN THE APER TOURS PHOTOGRAPHY WORKSHOP AS PRESENTED ON THE "WORKSHOP COSTS AND REGISTRATION" PAGE OF THE APER TOURS WEB SITE AS OF THE DATE OF THIS APPLICATION. ALL REGISTRANTS COVERED BY THIS APPLICATION MUST SIGN BELOW. A PARENT OR GUARDIAN MUST SIGN FOR ANY REGISTRANT BELOW THE AGE OF 21. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ************************************************************ Please keep a copy of this form for your records and mail the original along with your deposit to the address above. Thank you for registering for the Aper Tours Digital and Film Photography Workshops. I look forward to seeing you in beautiful San Cristóbal, Mexico for the experience of a lifetime. Best Regards, Cisco Craig Dietz apertoursfoto@apertours.com (011-52) 967-678-5727 cell 967 106 3430