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Reservation/Registration Form Please reserve ________ place(s) for the 2007, A Voyage on the Rhine. A deposit of $500 per person is enclosed. $1000 is due June 15, 2007, with the balance due August 15, 2007. NAME(S) ________________________________________________________ ADDRESS _______________________________________________________ CITY ___________________________ STATE _________ ZIP ____________ PHONE (day) ________________ (eve) ______________ FAX ____________ E-Mail __________________________________________________________ I am a single traveler; please add single supplement of $699 ____ (yes/no) Accomodations: _____ single; _____ double; _____ roommate requested If roommate requested, indicate: ____approx. age; ____ smoker____non-smoker Please make checks payable to "Goodspeed & Bach, Inc." and mail with this signed registration form to: Mr. Matt Moran Please send the required $300 per person tax-deductible Music for Youth contribution to: Music for Youth, Inc. For questions, call Matt Moran at: 1-888-446-1789; xgoodspeed@aol.com or Marianne Liberatore at 1-203-227-1611; vanhoorn@optonline.net I (we) have read and accept the terms and conditions applying to this tour as found at www.goodspeedandbach.com SIGNED____________________________________ DATE _____________________ |