Name (First and Last):
Home Telephone (w/ area code):
Work Telephone (w/ area code):
Email Address:
IMPORTANT!
Gender Smoker?

ROOMING…

Roommate's Name:
(If a roommate's name is not entered, Eupsychia will choose for you)

Private Room No Yes
($350 extra, and only available on a space-available basis. If you snore, please consider upgrading to a private room... Thanks!)

TRAVEL… (fly into the Atlanta Hartsfield Airport by 3:30 p.m. on Friday, Feb 28th and return on Thursday, Mar 6 any time after 3:30 pm)

Are you driving or flying?

Do you need the shuttle?

FLIGHT DATA (All info Important! We track your flight via the internet for potential delays)

Airline Carrier Flight Number

Departing what City? at (am or pm)

Connecting City? Flight Number

Arrival Time in Atlanta Departure Time on March 6th

DIETARY… Please choose your preferred diet.

Special Dietary Needs: (Within reason, we try and meet special needs.)

Additional Comments:


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•••••

THANKS!
We look forward to being with you this August.

 

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