PACIFIC SPORTS TOURS APPLICATION FORM
I HAVE READ AND UNDERSTAND THE
ABOVE LISTED TERMS AND CONDITIONS AND COMPLETELY UNDERSTAND AND ACCEPT THEM:
SIGNATURE_____________________________________
DATE_________________________
NAME (PRINT)_______________________________ORGANIZATION______________________
STREET____________________________CITY________________STATE_______ZIP________
HM. PHONE_________________WK
PHONE._________________E-MAIL_______________
PACKAGE PRICE
$839.50
ROOMMATE
PREFERENCES:____________________CREDIT CARD ADD $25
PER PERSON
________________________________________________TOTAL
ENCLOSED______________
CREDIT
CARD#___________________________________EXP. DATE_______________
(PLEASE ADD $25
PER PERSON TO CREDIT CARD PAYMENTS AS REGULAR PRICE IS A CASH DISCOUNTED
PRICE. NAME AND BILLING ADDRESS FOR CREDIT CARD MUST BE THE SAME AS ABOVE. YOU
MAY FAX CREDIT CARD PAYMENTS TO PACIFIC SPORTS TOURS AT 310-798-1236)
Pacific
Sports Tours, Inc.
212
Yacht Club Way #A-7
Redondo
Beach, Ca 90277