Elk
Grove Chamber of Commerce
Chamber to India Trip
Registration Form
Please
use a separate form for each person traveling
I wish
to take the ten day Chamber to India Trip from September 8
- 17, 2008
for $2,459 per person / double occupancy (or $2,399
discounted price if paid
by cash or check)
Name as it appears (will appear) in your passport:
First: _________________ Middle: ____________ Last
_______________________
Address:
______________________________________________________________
City, State, Zip:
________________________________________________________
Phone: _____________________________
Fax:_______________________________
E-mail:
_______________________________________________________________
Familiar
name:_________________________________________________________
Passport Number: ______________ Expir Date: ___________ Birth
date: ________
Sharing a room
with:____________________________________________________
q
One King/Queen bed q
Two Twin Beds q
will pay Single Supplement
Traveling with:
_________________________________________________________
Please
upgrade my airfare to Business Class for an additional
$3,000.
Please
provide me a private single room for the entire trip for an
additional $450.
Please
charge my credit card.
Card Number:_______________________________________________
Expiration
Date:______________________________________________
Name on Card:
_____________________________________________
Signature:
__________________________________________________
A
non-refundable deposit of $200 per person is due with your
registration. The balance is due on or before close of business
July 11, 2008.
Return
with your $200
non-refundable
deposit or full payment to:
Elk Grove Chamber of Commerce
9370 Studio Court, Suite 110
Elk Grove, CA 95758
Office:
(916) 691-3760 Fax: (916) 691-3810
CST #2023512-40 |
