2015 Normandy – Registration form

NORMANDY

August 25 –  September  2, 2015

With

Dr. E. Carver and Marianne McGriff

Name(s)_(as they appear on your passport(s)

#1_________________________________________________________________________

#2 ________________________________________________________________________

Address ________________________________________________________

City/State ___________________________ Home Phone ___________________

#1 E-Mail ___________________________________ Cell __________________

 

#2 E-Mail __________________________________ Cell__________________

 

#1 Date of Birth ______________________  #2 Date of Birth__________________

 

#1 Passport Number ________________ #2 Passport Number  _______________

#1 Passport Issue Date __________________ #2 Passport Issue Date ____________

 

#1 Passport Expiration Date __________________ #2 Passport Expiration Date __________

 

 

 

Payment Schedule

            Checks made out to: “Travel to Remember”         Memo: “Normandy  2015”

Deposit of $500 per person – by September 15, 2014

Second Payment of $1500 per person – by February 15, 2015

Final Payment of balance –tbd  – May 1, 2015

 

 

Please print this and mail with your checks to:

 

Travel to Remember

Attn:  Bob Zehr

621 Timber Mill Lane

Indianapolis, IN 46260