Carleton College: Alumni Adventures: Registration Form

Registration Form

Carleton in Italy

July 3 – 10, 2004

Use the reservation form below to secure your place for the Italy trip. Space is limited to 20 travelers.

Name__________________________________________Class Year_____

(If applicable)

Address_______________________________________________________

City, State, Zip+4_______________________________________________

Phone (daytime)_________________E-mail_________________________

Trip cost: $1,200 includes all expenses for the week spent in Coldigioco

(excludes transportation costs to get to Coldigioco)

Deposit __________ @$200/person = $______________

CREDIT CARD PAYMENT (for deposit only) : MasterCard Visa American Express Discover

Balance of payment will need to made by check)

CHECKS: Please make checks payable to Carleton College.

Card Number____________________________________Expiration Date____________

Signature______________________________________________________

RETURN THIS FORM TO:

Italy Adventure

Carleton College Alumni Affairs Office

One North College Street

Northfield, Minnesota.

Fax: 507-222-4445

Phone: 800-729-2586