TRIP SIGN UP SHEET
NAME __________________________________________________________
ADDRESS _______________________________________________________
CITY____________________________________________________________
STATE_____________________ ZIP CODE __________________________
TEL: # - HOME _____________________ CELL PH _____________________
E-MAIL _________________________________________________________
ROOMMATE (IF APPLICABLE)___________________________________
AMOUNT PAID __________________________________________________
Please make your checks payable to: HWBC
and mail to:HWBC
CIRCLE ONE BELOW
Boston 2008,weekend trip or Montreal
P. O. Box 273
Hartford, CT 06141
(Please include your telephone number, which is needed in case we have to notify you of any changes to the itinerary.)