Madagascar registration - Far and Bright

PLEASE COMPLETE THIS FORM TO REGISTER FOR THE Madagascar TRIP

Surname/family name as per passport: *

Names as per passport: *

Gender as per passport: *MaleFemale

Nationality per passport you will be travelling with: *

Date of birth as per passport: *

High-IQ Society and country you belong to: *

Membership number: *0 / 11

Phone number (preferably that you use for WhatsApp/Telegram): *

Email Address: *

Do you speak French? *Not at allI can manage at tourist levelFluentWe are trying to gauge who can help a bit on the ground. English is spoken in tourist areas.

I wish to register for? *Essential MadagascarCoastal MadagascarNational Parks of Madagascar

Miandrivazo to Belo Tshiribihina I prefer: *Default by roadTsiribihina Descent by riverboat ($250 surcharge applies)Still undecided (decide by latest 31 August)Not applicable - I am not doing Essential MadagascarTsiribihina Descent involves sleeping in tents, doing your business in the bush, using bucket showers, etc.

For sharing options, you can propose own roommates, or if you have none, organisers will try to pair you up, and get your approval before confirming. *Own bed in own roomOwn bed, but share room with someone else of same genderOwn bed, but share room with someone else, gender does not matterI am sharing room and bed with someone else (e.g. as a +1 partner)

Name of person sharing with (only one of you should book a hotel room):If you would like to share, and don't have someone to share with, the orga team can try to suggest parings. Mandatory only if not taking own room, i.e. with the other option. If choosing sharing options, only one of you need to take a room.

Most of the accommodation outside the city are smaller, but clean, independently-run establishments, typically with showers, flush toilets and air conditioning (where needed). Group/default options average around $45 per room per night and more luxury (where availability) average around $70.I am happy to go with the group accommodation.I would like to explore more luxurious options where available.

DIETARY PREFERENCE *NoneGluten freeVegetarianOther

If you have selected 'Other' as your dietary preference, please specify your preferred dietary requirements or restrictions below.

NOTE!

Name, Phone number and E-mail are of the emergency contact.

Name and surname: *

Your own bloodgroup (if known)

Phone Number (WhatsApp or Telegram number preferred): *

E-mail: *

This is for the orga team to associate +1s and +2s (who are required to register for themselves) coming with main member.

I wish to bring guests (in addition to myself):

Payments *I have a Visa/Master cardI prefer alternative payment methods such bank transfers (which may carry international charges).

Non-refundable deposit at time of registration: $500

2nd deposit (including hotel costs) will be invoiced at the end of July and is refundable until the end of August, after which it becomes partially non-refundable.

On top of these deposits, you are responsible to pay directly all your food consumption, drinks and spa treatments, etc. We will try and offer self-catering/group cooking options where possible to keep costs down. These will be billed after the conclusion of the trip.

Given the tour takes place outside of the European Union, all billing is in USD and payment by card is highly preferred. We accept Visa and Master CARD.

Once you submit the form and we checked it, we will generate payment invoices and E-mail to you to make payment.

If you have indicated that you do not have access to/prefer not to use a Visa/Master card, we will revert to you with alternative payment methods.

Outside the city, Madagascar is still a very cash-dominated economy, so it is best to bring EUR or USD in cash to change on arrival. There are a few ATMs in the City and airport that can be used for local currency withdrawals.

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