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REGISTRATION FORM Please Print, complete and return or fax to: 6791 Eagle Lake Shore Road Vicksburg, MS 39183 (601) 279-4261 • fax: (601) 279-4227 |
MISSISSIPPI RIVER NATURE FESTIVAL
REGISTRATION FOR WEEKEND PACKAGE
Complete this form and return it to Tara with your payment prior to August
15.
| Name: | ___________________________ Res. Phone ____________ Bus. phone____________ | ||
| Address: | _____________________________________________________________________ | ||
| number and street | city & state | zip | |
WEEKEND PACKAGE INCLUDES:
Lodging (Fri & Sat), Breakfast (Sat &
Sun), Dinner (Fri & Sat),
Entertainment/Social (Fri & Sat)
a MS River Tour on the Sweet Olive, Birding opportunities plus various
exhibits & lecture sessions.
(Vendors will be on site selling lunch Sat. & Sun.)
| PER PERSON COSTS FOR WEEKEND: | |
| Single Occupancy Rate | $284.62 |
| SAVE BY DOUBLING UP!!!!!!! | |
| Double Occupancy Rate | $204.37 |
| ($408.74/Couple) | |
| ___________TOTAL AMOUNT |
Please indicate method of payment:
Check made payable to Tara Wildlife____
OR
Visa/MC/AMEX #________________________________ Exp. Date___________ 3-digit
code_______
Click Here for a Detailed Agenda.
