Print out the form below, fill it out and sign.
Send the completed
form and your deposit of
$100.00 per person, to secure your
reservation.
The Balance of $699.00 Per Person will be DUE ON Sept 1st, 2010.
MAKE CHECKS PAYABLE TO: "UNCLE OZZIE" PO Box 341, Portage, WI 53901
If you have any questions about the trip, please contact us.
Call (608) 742-8707. (If no answer, please leave a message.)
Cell (608)-334-9332 Or E-mail us by clicking here |
NOT RESPONSIBLE FOR: Any damages, losses, expenses or inconvenience caused
by late arrivals, departures, change of schedules, injury, or damage to any person or
property from any cause what so ever.
When the trip gets closer you will get an updated schedule and cover letter.
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Name(s)___________________________
Address__________________________
City___________________
Zip_________
Phone(____)_________________
Email
Address__________________________
PICK UP AT:
Portage South Side 6:30AM____ Madison (Park -N- Ride)7:15AM.____
|
Rooms
Non Smoking_____
Smoking_____
(1) Bed ____ (2) Beds__
Emergency Contact #________________
BOTH Signatures Please
X__________________________________
X___________________________________
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Do you have a Birthday, Anniversary or other Special Event in the month of
early Nov? Let Us know by filling in the form below, and send it in with your trip
reservation.
NAME:_______________________________________________
TYPE OF EVENT:_____________________________________
DATE OF EVENT:_____________________________________
Name You Prefer On Your Name
Tag:____________________________________________________
| 7 days in Branson, MO Nov 2010 |
Are you Diabetic?__________
Cell Phone(___)__________________
Name(s)___________________________