Sign-Up Coupon for SW Adventure Caravan

 Check out our webpage at: www.swadventurecaravan.wbcci.net for more information.

Co-Leaders: Elna & Jay Thompson, 9163 McDougal Court, Tallahassee, FL 32312          Phone: Cell: 850-766-0036 or 850-212-4719, E-mail: elnaandjay@mac.com

 Southwest Adventure Caravan 

 Year to travel on caravan  _________                    

Date: ___________________

Last Name: ____________________ First Name:  ________________Spouse:_________________ Home phone#:____________________Cell:______________________E-Mail__________________

Address: ______________________________City :_______________ State: ______Zip:_________

# Of Adults: _____ Children: _____ Pets: _______MH/T: ______ft. Physically Challenged:_______

America The Beautiful (Golden Age) Pass #:_________________________WBCCI #____Rig Type & Length______

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