191 Joy Lane  .  Santa Rosa Beach, Florida  .  32459  .  USA
"Adventures to places you've only dreamed of....."
 

 North Pole Expedition Registration Form  

 

Register Today, Space is Limited. Registration is fast and convenient…
Just print this form out, enter your information and mail. 
 
Participants Name (as shown on passport):
    Last Name:__________________________________________
    First Name:__________________________________________
Address:  _____________________________________________________                  
City: ___________________________________
State:___________________________________ Zip______________
Country: ______________________________________________
Phone # ______________________________________________
Male:______  Female:_______
Email Address: _________________________________________
 
Passport Information:
     Country of Issue:_____________________________________
    Passport Number:_____________________________________
    Date of Issue:________________________________________
    Date of Birth:_________________________________________
   
   
   
 
Enclose your deposit of $ 2,500. (payable to Global Expedition Adventures, Inc.)
for each participant and mail to:  
                                           Global Expedition Adventures, Inc.
                                            191 Joy Lane
                                            Santa Rosa Beach, Fl. 32459
 
 
Get on the Expedition to the "Last Frontier on Earth"…..