| ___________________________________________________ | (_____)______________ | ||
| ___________________________________________________ | _____________________ | ||
| ___________________________________________________ | _____________________ |
| Entry Fee | subtotals | |||
| _____ $60 Division 1 | _____ $45 Division 2 | _____ $45 Division 3 | _____ $35 Division 4 | $______ |
| Hotel/Commuter Fee | ||||
| _____ $188 pp/double | _____ $324 single | _____ $158 pp/triple | _____ $22 commuter | $______ |
| _____ Early Bird (before Jan 1) deduct $10.00 | _____ Late Bird (after Jan 24) add $10 | $______ |
| TOTAL ENCLOSED $______ |
| Roommate(s): ______________________________________ | _______ Nonsmoking | _______ Smoking |
| Find me a roommate: | ______ Nonsmoker | ______ Smoker | ______ No preference |
| I am arriving by Metro North on Friday at the Brewster, NY, train station at _______. (See flyer for details.) |