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ASSATEAGUE EXPLORER - RESERVATION FORM - |
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NAME: (First)____________________ (Last)_________________________ ADDRESS: ________________________________________________________________________ EMAIL ADDRESS: ________________________________ HOME PHONE: ______________________ BEST TIME TO CALL: ______________ MOBILE PHONE: ______________________ HOTEL or PLACE WHERE YOU WILL BE STAYING: ___________________________
RESERVE the following (Indicate which tours for each day) : DATE ____________
DATE ____________
I am sending the full payment of $_______________ by check or money order (Make it payable to Assateague Explorer ) to reserve the above tour(s). COMMENTS:
Please mail this form with the payment to: Assateague Explorer 6373Burton Avenue, Chincoteague, VA 23336 |