Maury County Senior Center

Tour of Our Heritage: Fall Motor Coach Tour

H O M E

October 13 - 18, 2008

Registration Form

Print out and mail to:

Maury County Senior Center

Fall Motor Coach Tour

PO Box 993

Columbia, TN 38402

Call 931.388.9595 or e-mail mkmcsc3@cpws.net if you have any questions.

Registration Form

Name:

Address:

City:

State:             Zip:

Phone:
E-Mail

Please list additional people staying in your hotel room.

1)

2)

3)

Enclosed is my deposit in the amount of $ ____________ ($ 75.00 per person) as the necessary deposit on he Maury County Seniors fall Motorcoach Tour.

I have read all information as listed on this program and understand all items as listed.

Signature _______________________________

Date: ___________________________________

Make your check payable to Maury County Senior Center.