| Housing Request Form for the |
| POCONO ENVIRONMENTAL EDUCATION CENTER |
| Dingmans Ferry, Pennsylvania |
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| Return to the Water Gap A-Event |
| November 1-2, 2003 |
| Delaware Valley Orienteering Association |
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| We are offering a single package for the weekend: Friday and Saturday night lodging, Friday and Saturday night dinner, and Saturday and Sunday breakfast and lunch. Breakfast and dinner will be in the self-serve cafeteria; all lunches will be boxed and available for pick-up at breakfast. The following rates apply and are per person: |
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| Type of Cabin |
Adult |
Children
5-10 years |
Children
2-4 years |
| Medium Cabin (sleeps 3-4) |
$119.00 |
$90.00 |
$59.50 |
| Large Cabin (sleeps 5-7) |
$95.00 |
$72.00 |
$47.50 |
| X-Large Cabin (sleeps 8 or more) |
$85.00 |
$65.00 |
$42.50 |
| (Cabins of each size are limited.) |
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| Linens (sheets, pillow, blanket, towels) are available for $10 per person. |
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| Reservations require payment in full and must be received by October 25, 2003. Refund requests made by October 19, 2003 will be honored. Refund requests received after October 19, 2003 will be made only if a replacement is found. Paying for the minimum number of occupants may reserve an entire cabin; otherwise the Registrar will make cabin assignments. |
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| NAME: __________________________________________________________________________ |
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| ADDRESS: _______________________________________________________________________ |
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| PHONE: ________________________________ E-MAIL: _________________________________ |
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| TYPE OF ACCOMODATION: ____________________ # LINEN PACKAGES: __________________ |
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| # PERSONS at each RATE: ___________________ TOTAL: ____________________________ |
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| BOX LUNCH: _______________# Vegetarian ___________________# non-Vegetarian |
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| Please assign me to a cabin with the following people: |
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| Mail check/money order payable to DVOA to: |
| Valerie Meyer |
| Housing Coordinator |
| 2305 S. Buchanan ST |
| Arlington, VA 22206 |
| AmeetHousing@aol.com |
| (703) 671-3655 before 9 P.M. EST
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