REGISTRATION FORM
Group Name: MWSCAS Group
Instructions: ENTER THE INFORMATION FOR EACH FIELD. Once the form has been completed, click on the SEND button to send us a copy. You will get a confirmation by e-mail . A Record Locator Number (recloc) will be sent to you by e-mail within a 48 hour period. Thank you for the opportunity to serve you!
General Information
Participant Last & First Name
E-Mail:
Telephone:
Participants Information
Names of Participants

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MIDWEST SYMPOSIUM ON CIRCUITS AND SYSTEMS OPTIONAL TOURS (Specify Qty.)
QTY Description
EL YUNQUE RAIN FOREST
Price: $44.00 per person		 Booking Code: Rain
Lunch at Richie’s Café
Price: $37.00 net per person, gratuity included. Drinks are not included.
BACARDI CITY TOUR 
Price: $44.00 per person                    		Booking Code: CITY
Lunch at El Buren Restaurant in Old San Juan
Price: $28.00 per person, gratuity included. Drinks are not included
DOWN UNDER IN CAMUY AND ARECIBO OBSERVATORY
Price: $79.00 per person		 Booking Code: CAVE
Lunch at Criollisimo Buffet
Price: $25.00 per person, gratuity included. Drinks are not included
COLONIAL PONCE
Price: $73.00 per person
Note: Minimum 15 guests on tour 		Booking Code: PONCE
Lunch at Al Fresco Café at Ponce Museum of Art
Price: $35.00 per person, gratuity included. Drinks are not included
  Captain Duck Tours
Price: $28.50 per person
This tour would be available on the following dates:
Monday August 7 departing Hotel at 3:00 PM Booking Code: DUCK 1
Monday August 7 departing Hotel at 4:30 PM Booking Code: DUCK 2
Tuesday August 8 departing Hotel at 4:00 PM Booking Code: DUCK 3
  *A minimum of 15 passengers on the tour is required to operate this tour. Maximum of passengers is 48 passengers on the tour.
Please note that we will contact you prior to charge your credit card. We reserve the right to cancel tours that do not meet the minimum of passengers required to operate.
   
Credit Card Information & Authorization
Credit Card Type:
Name on Card:
Card Number:
Expiration Date:
Authorized Amount: (In $US)
Service Charge: (Calculate 3% service charge in $US)
Additional Comments

Note:

  • Exclusive transportation service must be paid in full by August 1, 2005.
  • Cancellation Policy: