___________________________________________________ | (_____)______________ | ||
___________________________________________________ | _____________________ | ||
___________________________________________________ | _____________________ |
Entry Fee | subtotals | |||
_____ $60 Division 1 | _____ $45 Division 2 | _____ $45 Division 3 | _____ $35 Division 4 | $______ |
Hotel/Commuter Fee | ||||
_____ $188 pp/double | _____ $324 single | _____ $158 pp/triple | _____ $22 commuter | $______ |
_____ Early Bird (before Jan 1) deduct $10.00 | _____ Late Bird (after Jan 24) add $10 | $______ |
TOTAL ENCLOSED $______ |
Roommate(s): ______________________________________ | _______ Nonsmoking | _______ Smoking |
Find me a roommate: | ______ Nonsmoker | ______ Smoker | ______ No preference |
I am arriving by Metro North on Friday at the Brewster, NY, train station at _______. (See flyer for details.) |