Registration for 

Nordic Voice Goes NORTH TO SCHWEITZER

Monday, January 26-Friday, January 30, 2009

Must be a member of Nordic Voice to participate

Please complete this form and send with your deposit of $200.00 per person payable to NORDIC VOICE, to Jill Cooper, 4220 Bodenheimer Street, Boise, ID 83703. 

Balance due December 1, 2008.

Yes, count me in. I understand Nordic Voice is a volunteer organization and members participate in Nordic Voice sponsored events at their own risk.

_________________________

Signature.

Name as appears on the ID you will use at the airport: _____________________________

Emergency Contact Name and Telephone Number _____________________

Air mileage plan number, circle program.  

ALASKA, DELTA OR NORTHWEST ___________________

SECOND TRAVELER IF SIGNING UP TOGETHER

__________________________

Signature.

Name as appears on the ID you will use at the airport: _____________________________

Emergency Contact Name and Telephone Number _____________________

Air mileage plan number, circle program.  

ALASKA, DELTA OR NORTHWEST ___________________

E-mail address: Important, this is how I keep you updated _________________________

Address: ________________________________________________________________

Day Phone: _________________________

Eve Phone: _________________________