A Gentle Journey
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This form is for the Gentle Journey to be held in
Raymond, New Hampshire Monday July 20
through Friday July 24, 2009.
First name:
*
Last name:
*
Email:
*
Address:
*
City:
*
State:
*
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Zip Code:
*
Day Time Phone:
*
Special Dietary Requirements?
Would you like to pay now or...
Make deposit by credit card ($
100
)
Pay full amount by credit card ($
550
)
I would like to stay 4 nights ($
80
)
Pay remaining amount by credit card ($
450
)
Total : $
0
pay later by personal check?
Personal Check
Comments/Questions:
*Required
Reservation Request
July 20-24, 2009