Join the Adventure in 2001!

Walkabout

Pacific Wreck Database is currently planning another trip back to the Pacific WWII sites in 2002. Fill out the form below to begin recieving additional information. There is no obligation for filling out this questionaire.

Personal Information
Your Name:
Email Address:
Address:

Tel:
Fax:

Passport Information

Do you currently have a valid passport?
Yes No

If yes, name, as it appears on the passport
Information is for file & obtaining group visas.

Health Information
Do you have your own Insurance?
Yes No
Do you have any health considerations?
Yes No

Please specify below

Are you willing to sign a waiver?
Note: There is risk of Milaria, and potentially
other problems traveling to the regions we would visit.
Yes No

Are you WWII Pacific veteran?
(Or a relation to one)
Yes No

Please select send below
Thank you

Interviews & Oral Histories