REGION 1 -- HOUSING FORM
REGIONAL EVENT: _________________________________
DEPOSIT FOR: Single _____________ Double _________ Triple/Quad ____________
SUBMIT ONE CHAPTER CHECK PAYABLE TO "NORTH ATLANTIC REGION
#1" BY THE DEADLINE DATE AS STATED IN COVER
LETTER
CHAPTER:
_____________________________
CONTACT: _____________________
PHONE: Area Code ( ___) ____________________
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PLEASE TYPE OR PRINT NAMES BELOW - INDICATE NUMBER OF NIGHTS
| 1. | Captain: | | | 1. | Captain: |
| |
|
| Address: | |
. | | Address: |
| |
| | Phone: | |
| | Phone: |
| |
| 2. | | |
: | 2.
| | | |
| 3.
| | | | 3. | | | |
| 4. | | |
| 4. | | | |
|
| Fri Nt .
| Sat. Nt. | Wknd. |
| Fri. Nt.
| Sat. Nt. | Wknd. |
| •.... -------------------- | --------------------- |
| 1.
| Captain: | |
| 1. | Captain: |
| |
| | Address: | |
| | Address: |
| |
| | Phone: | |
| | Phone: |
| |
| 2. | | |
| 2. | | | |
| 3. | | | | 3.
| | | |
| 4. | | | | 4.
| | | |
|
|
Fri Nt. Sat.
Nt. Wknd. |
| Fri. Nt. Sat. Nt. Wknd. |
|
--------------------- | --------------------- |
| 1. | Captain: |
| | 1. | Captain: |
| |
| | Address: | |
| | Address: |
| |
| | Phone: | |
| | Phone: |
| |
| 2. | | |
| 2. | | | |
| 3. | | |
| 3. | | | |
| 4. | | | | 4.
| | | |
|
|
Fri Nt. Sat.
Nt. Wknd. |
| Fri. Nt. Sat. Nt. Wknd. |
|
--------------------- | --------------------- |
| 1. | Captain: |
| | l. | Captain: |
| |
| | Address.: | |
| | Address: |
| |
| | Phone: | |
| | Phone: |
| |
| 2. | | |
| 2. | | | |
| 3. | | |
| 3. | | | |
| 4. |
| | | 4.
| | | |
|
| Fri Nt.
| Sat. Nt. | Wknd. | | Fri. Nt. | Sat. Nt. | Wknd. |
| --------------------- | --------------------- |
| 1.
| Captain: |
| | 1. | Captain: |
| |
| | Address: | |
| | Address: |
| |
| | Phone: | |
| | Phone: |
| |
| 2. | | |
| 2. | | | |
| 3.
| | | | 3. | |
| |
| 4. | |
|
| 4. | | | |
| | Fri.
Nt. | Sat
Nt. | Wknd. | | Fri. Nt.
| Sat. Nt. | Wknd. |