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Chamber Trip to China

LONE PINE CHAMBER OF COMMERCE

Registration

March 27 - April 4, 2008

Please use a separate registration for each person traveling.

______________________________________

Full Name (as it appears on your passport)

______________________________________

Company

______________________________________

Address

______________________________________

City State Zip

______________________________________

Phone Fax

______________________________________

Email

Tour Package:

• Standard Tour Package - $1,899/Person
• (Discount for Lone Pine Chamber Members - $1,699/Person)
• Upgrade my international round trip airfare to
• Business Class for an additional $4,500
• Provide me a private single room accommodation
• for the entire trip at $450 additional.
• (Accommodations based on double occupancy)

Deposit Information

Check is enclosed in the amount of $ ___________

(Please make checks payable to Lone Pine Chamber of Commerce)

I authorize the Lone Pine Chamber of Commerce to

charge the credit card listed below for the amount of

$ ___________ . Visa   MasterCard

Please note: A 4% fee will be added to all credit card charges.

______________________________________

Card No.

______________________________________

Expiration Date V-Code

______________________________________

Name on card

______________________________________

Authorized signature Date

Please mail or fax completed registration form to:

Lone Pine Chamber of Commerce

P.O. Box 749

Lone Pine, CA 93545  

or register online at www.lonepinechamber.org/shop

A non-refundable registration fee of $200. per person is due with your

registration and is included in your total tour fare. Registration deadline

is 11/15/07. Final payment must be made by 12/15/07

Lone Pine Chamber of Commerce

P.O. Box 749

Lone Pine, CA 93545

760.876.4444