Alliance Française of Birmingham
Springtime in Paris 2010 Registration Form
VERY IMPORTANT - PLEASE PRINT YOUR NAME EXACTLY AS IT APPEARS IN YOUR
PASSPORT. THANK YOU.
(Please complete a separate form for each person traveling)
Last:___________________________________ First:_____________________________
Address:________________________________________________________________
City:________________________ State:_____________________
Zip:_____________
Phone: Home_______________ Work______________ Email:____________________
| Please circle: UAB employee?
YES / NO |
Alliance Française
Member? YES / NO
(Online membership form available at: www.afbirmingham.org) |
SINGLE / TWIN / DOUBLE - YOUR ROOMATE:___________________________
(1 bed) (2 beds) (1 bed)
I DO NOT HAVE A ROOMATE BUT WOULD LIKE TO SHARE A ROOM:________
|
Days / Nights
|
Dates-March 2010
|
Total Cost
(Double occupancy)
|
Single supplement
|
Deposit
(no refund after 11/16/09)
Due by 11/16/09
|
First Payment
Due by
12/14/09
|
Final Payment
Due before 01/31/10
|
|
8/7
|
3/13 - 3/21
UAB & BSC Spring Break
|
$1,799.00
|
$500.00
|
$199.00
|
$800.00
|
Balance
|
|
4 OPTIONAL DAY TRIPS (Don't send
money for trips now, just circle the trips you want).
|
|
NORMANDY: $150.
Bayeux Museum and Omaha Beach American Cemetery
YES / NO
|
CASTLES OF THE LOIRE VALLEY: $150.
YES / NO
|
REIMS CATHEDRAL & CHAMPAGNE WINERY: $150.
YES / NO
|
CHARTRES CATHEDRAL & VERSAILLES:
$150.
YES / NO |
| PARIS BY NIGHT CITY TOUR
$30. |
YES / NO
|
Please Mail This Form with Deposit of $199.00
(per person, non-refundable) by November 16, 2009.
(Please add $50.00 if you are not a UAB employee or an Alliance Française
member)
Make Check Payable To: Alliance Française
of Birmingham
Mail to: 413 Clermont Drive, Birmingham, AL 35209
©Alliance Française of Birmingham/KT Webdesign
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