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C  H  E  S  A  P  E  A  K  E       C  H  A  P  T  E  R
U  N  I  T  E  D     S  T  A  T  E  S     L  I  G  H  T  H  O  U  S  E     S  O  C  I  E  T  Y
Cost of June 26 cruise $135.00 (pp) members; $145.00 (pp) non-members; June 27 cruise $125.00 (pp) members and $135.00 (pp) non-members.

Cancellation policy: Minimum $25 per person administrative fee, see detailed article for other fees that may apply.

June 26 & June 27, 2010 - Virginia Cape Cruises
Ahoy, Sylvia!... Sign Me Up !
Here is some information for you.....
  Chapter Member:
 
Yes No
.
.
 
Name:
.
Address:
.
Telephone:
(          )
Email:
.
 

CHAPTER MEMBERS:

Saturday, June 26th Cruise _____ x $135.00 per person = $___________________
Sunday, June 27th Cruise ______ x $125.00 per person = $___________________
                                                       Total Payment Enclosed = $___________________

NON-CHAPTER:
Saturday, June 26th Cruise _____ x $145.00 per person = $___________________
Sunday, June 27th Cruise ______ x $135.00 per person = $___________________
                                                       Total Payment Enclosed = $___________________

Any special needs (handicap, dietary, etc): _________________________________________

I have read and I accept the Terms and Conditions.

Please send this completed registration form with full payment check made payable to Chesapeake Chapter, USLHS to:
Sylvia Samuels
120 Sandhill Road
Baltimore, MD 21221

If you have any questions, call Sylvia at 410-391-6880, or email her at .

NOTE: Failure to complete all information required will result in your deposit and reservation being returned. Please provide valid contact information (phone and/or email).

BACK to June 26 - 27 Details BACK to the Trips Page
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