RESERVATION BOOKING FORM
THAILAND EXPERIENCE III
October 24 to November 7, 2010
| NAME | _______________________________________________________ | Deposit is $250 with balance due 6/30/10 Package price is $1195 each for double occupancy. Sign up by May 31, 2010 and deduct $100. If you booking by yourself and need a roommate, we will assign a roommate for you. Upgrade to private room for the 14 days is $350. Note: Double occupancy bookings will sometimes be in twin beds, but often will be two in a double bed. Most rooms only have one bed. Call for details. 1-877-NUDIST-1 |
| ADDRESS | _______________________________________________________ | |
| ADDRESS | _______________________________________________________ | |
| TELEPHONE | _______________________________________________________ | |
| EMAIL: (PRINT NEATLY) | _______________________________________________________ | |
| THAILAND PACKAGE | $ _______________________________________________________ | |
| SINGLE SUPPLEMENT (if applicable) | $ _______________________________________________________ | |
| PHUKET ADD-ON (if applicable) | $ _______________________________________________________ | |
| SINGLE SUPPLEMENT (Phuket - if applicable) | $ _______________________________________________________ | |
| TOTAL | $ _______________________________________________________ |
If using a credit card, please complete the following:
(Note: VISA or Mastercard only)
Number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Expiration ___ ___ / ___ ___ Amount to be charged $ _____________ . ____
(month) (year)
Please charge my card automatically on June 30 for the balance YES NO
Credit card statement will read "West Coast Gathering" for merchant
Make checks payable to CMEN. Mail to: CMEN
8424-A Santa Monica Blvd #119
West Hollywood, CA 90069
The $250 deposit is non-refundable.
Refund policy on other balances: Before 6/30/10, Full refund less $250 deposit.
After 6/30/10 no refunds for any reason as transportation and rooms will be booked and reserved in your name.
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Revised: 6/20/10