Name (1) _____________________________Smoking___ Non-Smoking___
Member # _______
Roommate (2) _________________________Smoking___ Non-Smoking___
Member # _______
Street __________________________________ (2)
___________________________________
City, State, Zip _____________________________ (2)
_________________________________
Phone Home ____________________________ (2)
___________________________________
Work ___________________________ (2) ___________________________________
Cell _____________________________ (2) ___________________________________
E-mail
______________________________________ (2) ________________________________________
Trips:
Morzine Jan. 2008 ____
Optional Morzine Extension to Nice
Tahoe Feb. 2008 ____
Holiday Valley Feb. 2008 ____
Park City Mar. 2008 ____
Total Enclosed
$________________
Mail this coupon and
check payable to PSC to the Trip Contact listed for your trip, or you
can
inform us of your intentions in an e-mail sent to: travel@pittsburghskiclub.org .
include your home and work phone numbers and your postal address.
Be sure to write your name exactly as it
appears on your passport or drivers license.
Airline
tickets will be issued with the name you provide and please do not use nicknames.