Discover Heirloom Cuisine

*Celebrate * Lifestyle * Culture

www.discoverheirloomcuisine.com * 1-877-459-9686

For more detailed information on all our programs, such as itineraries, reviews, FAQ's, please visit www.discoverheirloomcuisine.com,

Discover Heirloom Cuisine - Application Form 2009 - 2010
In order to secure your place in the course, please follow the steps (1) through (5) below. Sign form, and mail with
payment to: Discover Heirloom Cuisine, P.O. Box 301, Cashmere, WA 98815.

Registration form may be used to register one person, please send separate form for each applicant. If you do not have internet access to

print off forms online, please contact us if you need to have forms emailed, info@discoverheirloomcuisine.com ; mailed or faxed to you.

Otherwise you may download from our website at: www.discoverheirloomcuisine.com

Prices include accommodations, three meals per day, all cooking instruction, tours, artisan tasting, ground transportation and transfers during

the program. Airfare is not included. Please inquire about rates for spouses and guests who choose not to participate in the cooking classes.

Prices subject to change without notice.

(1) TELL US YOUR CONTACT INFORMATION
Registrant's First Name ________________________________________________________________

Registrant's Last Name_________________________________________________________________

Physical Street Address ________________________________________________________________

Mailing Address (if different)____________________________________________________________
City _______________________________ State/Country________________ Zip _________________
Phone ________________________ Fax ___________________ E-Mail_________________________
Who To Contact In Case Of Emergency ___________________________________________________

Explain Relationship to You _______Family________Friend________Spouse_______Other_________
Emergency Phone # ___________________________________________________________________

(2) CHOOSE YOUR PROGRAM DATES, ROOM TYPE AND PRICE

Choose Spring 2009 Week Program Dates: Choose Your Room Type / Price per person:
❑ May 12-16, 2009 Week Class Single Occupancy $3790

❑ May 19-23, 2009 Week Class Double Occupancy $3470

Choose Spring 24 Hour Program Dates: Choose Your Room Type / Price per person:

❑ May 13 __ or 14__ 2009 24 Hour Class Single Occupancy $740

❑ May 20 __ or 21__ 2009 24 Hour Class Double Occupancy $695

Choose Summer 2009 Week Program Dates: Choose Your Room Type / Price per person:
❑ June 16–20, 2009 Week Class Single Occupancy $3790
❑ June 23–27, 2009 Week Class Double Occupancy $3470

Choose Summer 24 Hr Program Dates: Choose Your Room Type / Price per person:

❑ June 17 __ or 18__ 2009 24 Hour Class Single Occupancy $740

❑ June 24 __ or 25__ 2009 24 Hour Class Double Occupancy $695

Choose Summer 2009 Program Dates Choose Your Room Type / Price per person:
❑ August 4–8, 2009 Week Class Single Occupancy $3790

❑ August 18-22, 2009 Week Class Double Occupancy $3470

Choose Summer 24 Hr Program Dates: Choose Your Room Type / Price per person:

❑ August 5 __or 6__ 2009 24 Hour Class Single Occupancy $740

❑ August 9__ or10__2009 24 Hour Class Double Occupancy $695

Choose Family Program Dates: Choose Your Room Type / Price per person:
❑ August 11-15, 2009 Week Class Single Occupancy $3790

Week Class Double Occupancy $3470

Youth(10-18) Discount 25% /per # _____

Choose Fall Program Dates: Choose Your Room Type / Price per person:
❑ Sept 8–12, 2009 Week Class Single Occupancy $3790

❑ Sept 15-19, 2009 Week Class Double Occupancy $3470

❑ Sept 22-26, 2009 Week Class

Choose Fall 24 Hr Program Dates: Choose Your Room Type / Price per person:

❑ Sept 9 __or 10__ 2009 24 Hour Class Single Occupancy $740

❑ Sept 16__or 17__ 2009 24 Hour Class Double Occupancy $695

❑ Sept 23__or 24__ 2009 24 Hour Class

Choose Program Dates: Choose Your Room Type / Price per person:

❑ October 13-17, 2009 Week Class Single Occupancy $3790

❑ October 20-24, 2009 Week Class Double Occupancy $3470

Choose Winter Program Dates Choose Your Room Type / Price per person:

❑ Dec 1-5, 2009 Week Class Single Occupancy $3790

❑ Dec 8-12, 2009 Week Class Double Occupancy $3470

Choose Spring 2010 Program Dates Choose Your Room Type / Price per person:
❑ May 11-15, 2010 Week Class Single Occupancy $3790

❑ May 18-22, 2010 Week Class Double Occupancy $3470

Choose Spring 24 Hour Program Dates: Choose Your Room Type / Price per person:

❑ May 13 __or 14__2010 24 Hour Class Single Occupancy $740

❑ May 20__ or 21__2010 24 Hour Class Double Occupancy $695

3) Please tell us a little about yourself?

What is one thing you would wish to gain from this experience?

What attracted you to Discover Heirloom Cuisine?

How did you hear about our program?

Please share your favorite food and why would you call it a favorite?

(4) PAYMENT METHOD
How Many Registering: Total Amount Due: $ _________________
__ 1 __ 2 __ 3 __ 4 __ 5 ___ 6 ___ 7 ___ 8
❑ Deposit $ _________ (50% of total per registrant) Note: Balance due 60 days prior to program
❑ Payment in Full $___________

Payment with Check
❑ Check Enclosed #______ (Please make payable to: Discovery Heirloom Cuisine)

Payment with Credit Card
❑ MC ❑ VISA ❑ AMEX ACCT. NO. ______________________ EXP. DATE ________
3-DIGIT "V" CODE ________
Name as it appears on card:
_____________________________________________________________________________________
Billing Address for Credit Card
_____________________________________________________________________________________
_____________________________________________________________________________________
Signature
_____________________________________________________________________________________

(5) CAREFULLY READ OUR POLICIES AND SIGN RELEASE FORM
Prices include accommodations, three meals per day, all cooking instruction, tours, artisan tasting, ground

transportation and transfers during the program. Airfare is not included. Please inquire about rates for spouses and

guests who choose not to participate in the cooking classes. Prices subject to change without notice.

CANCELLATIONS & REFUNDS: 50% per person non-refundable deposit is required to reserve a space in the

course. Balance is due 60 days prior to departure. For cancellations 61 days or more prior to departure, in most case

fees may be applied to a future booking less the 50% deposit. Cancellations made 60 days or less prior to departure

will result in the loss of all monies received. Exceptions to this cancellation policy cannot be made for any reason,

including personal emergencies. There is no refund for leaving a program early or arriving late. As a courtesy,

DHC will honor your balance fees paid up to one year when applied to another program. This educational program

reserves the right to cancel any program prior to its start, in which case all monies will be refunded.

ITINERARY: Discover Heirloom Cuisine has the right to make partial changes to the stated itinerary.

We will do our best to keep changes to a minimum.

PHOTO RELEASE: Discover Heirloom Cuisine will photograph class activities for use in brochure/publicity.

Please notify us if we are not free to use photographs of you.

WAIVER & EMERGENCY INFORMATION: Please remember to include with your deposit the signed waiver

and emergency information.