RESERVATION FORM

I am enclosing a deposit (check/money order) in the amount of $300.00 For 1 Person $900.00 For 3 People $600.00 For 2 Person $1200.00 For 4 People($300.00 per person)

I prefer smoking/ non-smoking accommodation on the airplane and/or in the hotel

I prefer shared /single accommodations (add $270)

Last Full First M.I.

Last Full First M.I.

Last Full First M.I.

Last Full First M.I.

MAILING ADDRESS:

Street: Apt#.

City:

State:

Zip/Postal Code:

Home Phone Number:

Work Phone Number: