Please print out this blank form and fill in all the information. Please print clearly.
Be sure to include your $200 (non-refundable) deposit per person with this registration form. The deposit is to confirm your seat or seats. The balance will be due 40 days prior to tour.

Checks may be written to Washington Tour.

Send your completed registration form and deposit to:

      Washington Tour
      c/o Tim Wildmon
      P.O. Drawer 2440
      Tupelo, MS 38803.

I (We) wish to reserve space for ______ individual(s) on the

June 16-19, 2010      September 15-18, 2010

Name(s)
Name(s) on Nametag
Address 1
Apt. #
City/State/Zip
Phone Number	Daytime Phone Number is preferred.
E-Mail Address (optional)
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