BETA SIGMA PHI 2008 Texas State Convention

Bewitching Beta Cruise

October 27, 2008-November 1, 2008

NAME  _________________________________________________________________________

                    PLEASE PRINT YOUR LEGAL NAME AS SHOWN ON YOUR PASSPORT.   PASSPORT IS REQUIRED

 ADDRESS:  ___________________________________________________

 CITY  ____________________________________STATE_______________ZIP_____________

 PHONE _______________________EMAIL___________________________________________

 EMERGENCY PHONE  __________________________________________________________

 BIRTHDAY____________________________HUSBAND_______________________________

                               MONTH                  DAY                   YEAR                                          MONTH                   DAY                YEAR

                                                                                                               COUNCIL  

CHAPTER NAME  _________________________________CITY______________

 CABIN CATEGORY _____________________________________________________________

                                                                                                                                                       ROOMMATES:        ________________________________________________________

                                    ______________________________________________________________

                                    ______________________________________________________________

ANY SPECIAL NEEDS____________________________________________________________

DO YOU WANT OPTIONAL INSURANCE:   YES _______NO_________

PAST Carnival CRUISER NUMBER   _______________________

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PLEASE MAKE CHECKS PAYABLE TO:     BSP 2008 Texas State Convention Cruise

                                                                        7346 Grassy Trail           

                                                                        SAN ANTONIO , TX 78244

CALL + DARLENE AT CRUISE DESK:

1 (210) 340-1900, 1 (866) 618-7765. OR FAX TO 1 (210) 579-0249,

WEB PAGE:  www.bspcruise.com

Below for office use only:

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