2012 Japan Tsunami Debris Voyage: Registration

Registration Form:

Cost inclusions: Berth space, meals and participation in scientific activities throughout the Expedition.

Cost Exclusions: Land lodging, including the Japan layover. Transportation to and from vessel points of departure or arrival. Personal medical coverage must be in place prior to any point of departure.

Required Fields marked with Asterisk (*)

First Name* Last Name*

Street Address* City*

State* Zip*

Country*

Date of Birth* Country of Citizenship*

Passport / Visa date of expiry:*

Telephone (Land Line)*

Cell / Mobile (Optional)

Phone*

Email*

Tell Us About Yourself

How did you hear about the Voyage?

Skills

Physical Challenges

Relevant Education

Sailing Experience(While sailing experience is not required, you need to possess a team spirit and be able to handle physically demanding situations. You will be expected to assist in vessel maintenance and share crew duties. Describe any related experience with expeditions or general sailing journeys.)

*Goals for joining this expedition:

PAYMENT by Credit Card or Bank Transfer:
Please submit your Registration Form online, then complete the checkout via the "Payments" tab.
(For Bank Transfer information please call (562) 598-4889 or email opsadmin@algalita.org)

PAYMENT by Check or Money Order:
Please submit your Registration Form online and mail a copy with your check or money order.

Deposit must be received no later than ten (10) days of Registration.
$4,000.00 for Leg 1 and $5,000.00 for Leg 2.

Please enter the following number in the security number box:

Security number:

Privacy Policy: All information (such as email address and other personal info) that is collected by the Algalita Marine Research Institute (AMRI) will not be sold or given to any third party or distributed outside of AMRI.

Reservation Cancellation and Refunds:

REFUND POLICY: Guest crew will be liable for part, or all, of the previuosly paid berth space, dependent on the amount of notice given to Algalita, as follows:

Cancellation prior to December 31, 2011: Full refund, minus $50 handling fee

Cancellation January 1, 2012 o February 1, 2012: Full refund, minus deposit

Cancellation February 2, 2012 – March 31, 2012: No refunds available.

Algalita Marine Research Institute
148 N. Marina Drive
Long Beach, CA 90803