Jim Zuckerman Photo Tour Sign-Up Form

Name of Photo Tour or Workshop

Tour Date

Please enter your name exactly as it appears on your passport if this is an international tour.

First Name

Last Name

Gender

Male
Female

Please enter the name of spouse or family member also registering for this tour if applicable (EXACTLY as name appears in passport if international)

First Name

Last Name

Spouse/Family Member Gender

Male
Female

Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

Cell Phone

Home Phone

Birth Date

Passport Number (international only)

Date Passport Expires (international only)

Passport of 2nd person (if applicable)

Date 2nd Passport Expires (international only)

Room Request

Prefer to share (if you snore or have other sleep issues that make it difficult for a roommate to sleep, please be considerate and opt for a single room). If a roommate is not available, you agree to pay the single supplement fee.
I agree that if I choose to share a room on the tour, and a roommate isn't available, I will pay the single supplement fee
Want single room and will pay the additional fee

Emergency Contact: Name, Email, Phone

Deposit Amount

International Photo Tours + $1,500.00
U.S. Domestic Tours & Workshops + $1,000.00

Please note: When you register for a photo tour, Jim Zuckerman sends deposits for hotels, ground transportation, and local guide services to various vendors on your behalf. These funds are often non-refundable.

Because of this, if you decide not to attend the tour for any reason after signing up, your deposit and final payment cannot be refunded. However, we can apply those funds to another tour.

This is why Jim strongly recommends purchasing travel insurance, as it helps protect your investment in the tour or workshop.

IMPORTANT:

Jim will send you an email with deposit instructions upon signing up for a tour. When you send a check, it must be made payable to 'Jim Zuckerman' and sent to his address in Thompson's Station,, Tennessee (which he will give you in an email). If you wire the funds, Jim's bank is First Horizon Bank, and the name on the account is Killer Stock, Inc. (this is the corporation he uses for tax purposes). Any other instructions asking you to send your payment to another address, another bank, or another company is from a hacker and definitely fraudulent. You can always verify the email you receive from Jim asking for payment by emailing him or calling him at 615 414-7644.

Please list any physical or medical issues that Jim should be aware of

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Jim Zuckerman Photo Tour Sign-Up Form

Thank you for contacting us!