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HOTEL REGISTRATION – NORTH ATLANTIC REGION #1
REGIONAL
EVENT: ___________________________________ ___ Submit one chapter
check payable to “North Atlantic Region #1” plus completed form by the deadline date as stated in cover letter
to: Amy Cravetz, 683 Frost Road, Waterbury, CT 06705. Please indicate which nights each
person will be staying, i.e. Friday (F), Saturday (S), or the Full Weekend (W). For competition, please
indicate Thursday night stays (Th). Questions? Contact Amy at acravetz@comcast.net. Chapter:
Contact:
Email:
Phone #: (incl. area code)
Deposit submitted:
For:
____ Singles ____ Doubles ____ Triples ____
Quads PLEASE PRINT CLEARLY AND INDICATE NUMBER OF NIGHTS | 1. Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | | | | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | | | | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | | | | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: | | 1.
Captain:
Th F S WAddress:
Phone:
2.
Th F S W3.
Th F S W4.
Th F S WNOTES: |
REMEMBER TO PRINT CLEARLY!
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