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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 trip $110.00 (pp) members; $120.00 (pp) non-members
Final payment is due on or before June 14, 2008.

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


July 25, 26 & 27, 2008 - Lower Middle Bay Cruise
Ahoy, Linda!... Sign Me Up !
Here is some information for you.....

  Chapter Member:
 
Yes No
.
.
 
Name:
.
Address:
.
Telephone:
(          )
Email:
.

 

Enclosed is my payment for: 
$
 Which is for: 
.
 People.
Number of Chapter members:
 
Number of non-members:
.
 


I have read and I accept the Terms and Conditions.

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

My first preference for this trip is: __________Saturday __________Sunday

Please send this completed registration form with deposit ($25 pp) made payable to Chesapeake Chapter, USLHS to:
Linda Speece
1105 Gum Road
Effort, PA 18330

If you have any questions, call Linda at 570-620-9482, or via email speece3@verizon.net.

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).

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