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| CONTACT PERSON |
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NAME:
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First: |
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Last: |
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ADDRESS:
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Street: |
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City: |
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State: |
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Zip Code: |
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PHONE
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Home: |
Area Code:
Number
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Cell: |
Area Code:
Number
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E-MAIL ADDRESS
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ARRIVAL (estimated)
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Day of Week |
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Date |
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Time |
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DEPARTURE (estimated)
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Day of Week |
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Date |
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Time |
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| FACILITIES REQUESTED |
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Amounts in parentheses are for ABC members |
Tamarack Lodge
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Upper Main Room
without sleeping quarters |
$195.00 ($170.00) day use, free with lodging |
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Upper Level Catering Kitchen |
$40.00 ($35.00) per day |
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Lower Level North Hall
(sleeps 20 in bunks) |
$25.00 ($20.00) pp/per day, minimum $250.00 ($200.00) |
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Lower Level South Hall
(sleeps 18 in bunks) |
$25.00 ($20.00) pp/per day, minimum $250.00 ($240.00) |
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Hyde Suite |
$45.00 ($35.00) per day |
Arthur E. Basile Retreat Center
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(sleeping for 24/30, 1 double & 2 single beds in 4 of the
rooms; 1 double, 1 bunk & 1 single in 2 of the rooms) |
$28.00 ($22.00) pp/per day, minimum $400.00 ($350.00) |
Cabins
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Basic - Units Cabins 1-4 & 7-13
(8 beds in each) |
Number Desired
$20.00 ($15.00) pp/per day |
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Cabins 5, 6
(8 beds and shower facilities. 6 is handicap accessible) |
Number Desired
$20.00 ($15.00) pp/per day |
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Cornelius Leadership Cabin
(1 single, 1 full bed, air conditioning and shower) |
$35.00 ($30.00) per day |
John Gray Lodge
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Kitchen, dining hall, capacity approx. 150 |
$250.00 ($200.00) per day |
John Gray Lodge
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Lower Level (22 beds) |
$25.00 ($20.00) pp/per day |
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Total number of persons who will be present
(children 4 and under are free but should be counted) |
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Estimated Cost |
$
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$200.00 Deposit paid |
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| ADDITIONAL COMMENTS |
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