Phone: Home Other
Email:
Number Attending:
Club and District
If attending, spouse/guests name
Mode of Transportation Auto Flight
If flying, please provide flight #
Arrival Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010.
Arrival Time 12 1 2 3 4 5 6 7 8 9 10 11 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM
Departure Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2010.
Departure Time 12 1 2 3 4 5 6 7 8 9 10 11 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM
Please indicate the meals you will be in attendance for, and the number attending:
Breakfast Saturday:
Lunch Saturday:
Dinner Saturday:
Please provide any comments, additional information, special needs, and/or accomodations below:
Holiday Inn Airport Group Code: SER
Holiday Inn-Airport(Mapquest)
Lions World Services for the Blind(Mapquest)
