Please print out this form, fill it out, and mail or deliver it to Susan Oldrieve, English Department Office, Marting Hall (2nd floor) with your non-refundable deposit by July 6, 2004.
Name of Student ________________________________________
Names of Guest(s)______________________________________________________
______________________________________________________
Need ride (how many)_____ Can drive (how many)______
Home Phone___________________________________________
Work Phone____________________________________________
Email _______________________________________
Program Fees by Number and Type of Room (The prices below will be prorated for any guests not attending all 4 shows. Contact Dr. Oldrieve for the exact amount.)
____Single room @ $375 per person Total________
____Double (2 double beds) @ 259 per person Total________
____Double (1 queen bed) @ $252 per person Total ________
____Triple (2 double beds) @ $216 per person Total________
____Quad (2 double beds) @ $194 per person Total________
Total program fees _______________________
NON-REFUNDABLE deposit of $175 per person____________
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Office Use Only
________$175 per person NONREFUNDABLE deposit paid
________Remainder paid
275 Eastland Rd.