Apply to Join Us at the Conference

Journey and preferred travel date

Will you be joining us on the extension of this journey? (Please choose one)*

Name

First Middle Last

Preferred name

Organization

Position/Office

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth

Preferred Room Accommodations*

Single
Double
I will not require accommodations for this conference

Name of person sharing room (If applicable)

Health, Mobility and Dietary Concerns Your trip will be active and the days very full. On most days, we may walk one to two miles; often on cobblestone or uneven surfaces constructed several centuries ago. We may ascend and descend stairs. Please indicate any issues of mobility or need of assistance in mobility. We can very often successfully address food allergies or dietary issues with kitchen staff(s); Please describe any health issues of which we should be aware that would either prohibit you from full participation in the trip or those that should be addressed to hotel and restaurant staff

Any health concerns*

None
Yes, please explain in the box provided

Any dietary concerns*

None
Yes, please explain in the box provided

Use of device to assist mobility*

None
Yes, please explain in the box provided

If you answered yes to questions concerning health, diet or the use of a device to assist your mobility, please describe those concerns here:

Please select ONE of the choices below that most accurately describes the reason you are applying to attend this conference:*

I am interested in attending this conference because I expect to apply what I have learned when I return home
I am genuinely curious genuinely interested in the subject matter that is the focus of this conference
I am generally ambivalent about attending this conference, but curious enough to apply to attend
I have only a modest interest in attending this conference, but those around me thought it was a good idea that I attend
I am doubtful this conference will help me or those I serve, but provided a good excuse to get away from my work

Please share what you are most looking forward to in attending this conference. You may share a subject, topic, or idea your would like to learn more about or tell us about something you are looking forward to seeing, doing, or discussing as a participant in this conference.

Responsibility and Disclaimer Statement

Malone Clan Expeditions, LLC doing business as Purposeful Journeys acts only as an agent for the various independent suppliers that provide hotel accommodations, transportation, sightseeing, activities, or other services connected with this conference. Such services are subject to the terms and conditions of those suppliers. Malone Clan Expeditions, LLC and their respective employees, agents, representatives, and assigns accept no liability whatsoever for any injury, damage, loss, accident, delay, or any other incident which may be caused by the negligence, defect, default of any company or person in performing these services. Responsibility is not accepted for losses, injury, damages or expenses of any kind due to sickness, weather, strikes, hostilities, wars, terrorist acts, acts of nature, local laws or other such causes. All services and accommodations are subject to the laws and regulations of the country in which they are provided. Malone Clan Expeditions, LLC is not responsible for any baggage or personal effects of any individual participating in the journeys arranged by Malone Clan Expeditions, LLC. Individual participants are responsible for purchasing a travel insurance policy, if desired and applicable, that will cover some of the expenses associated with the loss of luggage or personal effects according to the terms of the travel insurance policy.

This conference application serves as my acceptance of the General Terms and Conditions under which this conference is offered. Malone Clan Expeditions, LLC reserves the right to accept or reject any application to attend this conference. Any remaining installment payments must be paid by check, credit card, or PayPal according to the Remittance Schedule and Payment options published and communicated to conference participants. This conference may require a minimum of participants. Should the conference attract less than the required number of participants, Malone Clan Expeditions, LLC reserves the right to cancel the conference with notice provided and a full refund of payments including deposits.

Remittance Schedule and Payment Options

Once your application has been approved, you may receive login credentials for a password protected page created for participants in this conference. On your participant page, you may find links to helpful information, including a link to the Remittance Schedule and Payment options page. On that page you may find helpful information about how to pay the balance of your conference fee as well as the option to set up recurring payments or make single payments if you should need to do so for an item you desire, but not included in the conference fee.

Cancellation

For written cancellations received by Malone Clan Expeditions, LLC on or before 30 days prior to the date of this conference, refunds may be made less the non-refundable deposit. In rare exceptions, and at the sole discretion of Malone Clan Expeditions, LLC, deposits may be refunded. Malone Clan Expeditions, LLC reserves the right to cancel your registration and retain the deposit if final payment is not received by the due date. No refunds will be given for any unused services while participating in the conference. All refunds will be issued at the conclusion of the conference.

Pictures and Video

Malone Clan Expeditions, LLC may take pictures and video during the conference. At the conclusion of the conference, participants may have the opportunity to share pictures and videos with Malone Clan Expeditions, LLC and with their cohort of fellow participants. By registering for this conference, you grant Malone Clan Expeditions, LLC permission to use your image and comments in educational, informational, and promotional materials in a variety of media, including electronic and social media.

How did you hear about this conference?*

I received a personal invitation from a representative of Purposeful Journeys
I received something in the mail inviting me to attend
I received an email from Purposeful Journeys inviting me to attend
I learned about this conference through social media
I was referred by a colleague or a friend
I do not remember how I learned about this conference

If you would be so kind as to share the name and e-mail address of the person who suggested that you join us on a journey, we will send them a special gift to say, Thank you!

Name

First Last

Email

Do you have a promotional code? Please enter here:

Consent*

Terms of Service

I agree to all General Terms and Conditions of this journey including the Responsibility and Disclaimer Statement, Remittance Schedule and Payment Options, Cancellation Policy, and terms granting permission to use pictures and video.

Application Fee*

Price: $150.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Comments

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Apply to Join Us at the Conference

Travel Conference Application

Responsibility and Disclaimer Statement

Remittance Schedule and Payment Options

Cancellation

Pictures and Video