Due by March 1, 2004-Register Early, space is limited!

Please complete a separate form for each person

Name_____________________________________ Address__________________________________
 
 

City____________________________________ State_______ Zip code ___________________

Daytime Phone Number_____________________

Room Occupancy (circle): single double

Room Requirements: smoking non-smoking

(There is no smoking

on the motorcoach)

Roommate’s Name__________________________

Box Lunch Sandwich Choice (circle): Ham Turkey Hummus

(includes sandwich, beverage, chips and a dessert)

Beverage Choice (circle): Pepsi Diet Pepsi Sierra Mist Diet Sierra Mist Water

Emergency Contact ________________________ Phone number___________________________

Departing From (circle) UVM Hort Farm King’s Garden at Fort Ticonderoga

Payment (Processing fee if paying by credit card. No processing fee if paying by check)

Registration Price $459 __________

Single supplement $169 __________

Credit Card

Processing Fee $30 extra __________

Total __________

Please make checks out to the "Fort Ticonderoga Association"

Credit Card Number____________________

Expiration Date_____________

Refund Policy: Cancellation before March 1, 2004 complete refund less a 10% processing fee.

Cancellation after March 1, 2004, no refund.

Requests for cancellation must be received in writing.

Mail Registration Forms by March 1, 2004 to: Garden Tour

Fort Ticonderoga

P.O. Box 390

Ticonderoga, NY 12883

Confirmation receipt, itinerary, and directions to departure sites will be mailed upon receipt of registration.

Contact Katie Elzer at 518-585-2821 with registration questions