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Name ( as it appears on passport)_____________________________
DOB_____________________
Address________________________________________________
Home Phone_____________________
Cell
Phone_______________________
Email___________________________
Department_______________________
DISTRICT COMMAND___________________PHONE____________
WHO ARE YOU ROOMING WITH (MAKE SURE YOU ASK THEM FIRST)
________________________________________________________
DEPOSIT $______________ CHECK #________________ CASH_______
BALANCE
IS DUE NO LATER THAN JANUARY 10th 2018
PLEASE READ
I understand that
my $1,00.00 deposit is non refundable if I back out and my spot cannot be filled. Names cannot be changed on ticket after December 1,2017
SIGN____________________________________ DATE__________________
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