Registration Form

Requiem, W.A. Mozart

Tour of Bulgaria

June 24-July 2, 2017

Conductors: Dr. Scott Glysson and Dr. Steven Zopfi

Personal Information --- Please provide your full name as it appears on your passport

Title: ______First Name: ______Middle Name: ______

Last Name: ______

Date of Birth: ______Age: ______

Address: ______

City: ______State: _____ Zip Code: ______Country: ______

Telephone: (h) ______(w) ______(cell) ______

Fax: ______E-Mail: ______

Emergency Contact: ______

Passport information:

Passport number: ______Expiration date: ______

Nationality: ______

I am applying to attend as:

q A soloist

q A chorister

q A traveling audience member

My Group Leader is: ______

Soloists/Choristers:

Mark one:

q Soprano q Alto q Tenor q Bass

Exclusions:

Optional Tours:

q The coastal city of Balchik. Cost: $70 per person.

q Varna Wine and Cheese Tasting Tour. Cost: $70 per person

Airline Reservations:

q Please make international airline arrangements and reservations for me.

Your name FIRST/MIDDLE/LAST as it appears on your passport ______

Your DATE OF BIRTH

Your CITY OF DEPARTURE

q I am making my own international travel arrangements. Once arranged, please email us your flight itinerary.

Lodging:

q I request single occupancy q Yes q No

q Single-occupancy additional supplement: 560

If planning on double occupancy, name (1st & last) of preferred roommate (if known):

______

Meals:

q I am a vegetarian q Yes q No

q I am a vegan q Yes q No

q I am gluten intolerant q Yes q No

Payment Information and Deadlines

Tour Land Cost (for participants paying with checks): $2090

*VISA/MasterCard/Discover card payments are subject to a 3% surcharge.

Finances paid toward this trip will be deposited into the Varna International Holdings Account.

Checks should be written to the order of Varna International and mailed to:

Varna International

1225 Laurel Street, Suite 331, Columbia, SC 29201

Cost Includes:

1.  Two public performances of Requiem, W.A Mozart in Varna and Sofia, Bulgaria.

2.  Professional orchestra for all rehearsals and concerts.

3.  Professional soloists for all rehearsals and concerts (provided by Dr. Zopfi from the USA).

4.  Major concert venues in Varna and Sofia for the performances.

5.  7 nights lodging (double occupancy) in established, reputable 4-star hotels in Bulgaria.

6.  All breakfasts and two dinners (welcome dinner and farewell dinner).

7.  Professional concert organization, including knowledgeable concert management staff.

8.  Professional concert promotion and publicity.

9.  Experienced bi-lingual tour manager.

10.  Ground transportation per tour itinerary, modern, a/c motor coach and driver.

11.  Extensive touring and sightseeing of the cities on tour, including guided tours in Varna, Nessebar, Plovdiv, and Sofia with pre-selected, professional tour guides.

Cost Excludes:

1.  Round-trip International Flight. Upon request, Varna International will provide a quote for airfare for the entire group or for individuals in the group.

2.  Travel Insurance

Varna International will provide travel insurance rates upon request.

3.  Single Occupancy: $560

4.  Tips and gratuities

5.  Optional Tours:

a.  The coastal city of Balchik. Cost: $70 per person.

b.  Varna Wine and Cheese Tasting Tour. Cost: $70 per person

Payment Schedule:

1st installment due by January 31, 2017 ------$500 per person

2nd installment due by March 16, 2017------$790 per person

+Single Occupancy + Optional Tours

3th installment due by May 5, 2017------Balance in full

Cancellation Fees Schedule:

Cancellation fee between January 31 and March 15, 2017------$350 per person

Cancellation fee between March 16 and May 4, 2017------$750 per person

All monies non-refundable after May 5, 2017

By signing this form you agree to the following:

□  I have read the Waiver and Release form and agree to all the terms and conditions it specifies. (Please mail or fax us a signed copy of the Waiver & Release Form.)

□  I have read and agree to the payment and cancellation fee schedule.

Signature of Participant: ______Date: ______

***If a minor (under the age of 18), please include the name, address, phone number, and signature of your parent or guardian:

______

Name of parent or guardian Signature of parent or guardian


Address of parent or guardian: ______

Telephone: ______

For further inquiries, Please contact us at:

Phone: 1-803-545-4166 , Fax: 1-803-545-4459

E-mail:

www.varnainternational.com