* indicates required field.
CONTACT INFORMATION:
Name: * Delivery address: * (as it appears on driver's license) (no PO Boxes)
Telephone (Please include area codes) Home: Work: * Cell: *
Email address: * Fax:
Emergency Contact Name: Emergency Contact Phone:
TRAVEL INFORMATION: Click here for Online Ticketing Instructions
Travel date to NSM: * Return date from NSM: *
Preferred originating airport: * Preferred Airline:
Roommate Preference (if any): Special Dietary Restrictions:
EXTENSION REQUESTS:
FREQUENT FLYER INFORMATION:
Airline: FF Number: Name on Account:
Preferences: Aisle Seat Window Seat Other requests:
ACTIVITIES: Click here for descriptions of your Activity options
(Pick an activity for each day) Activities January 15th Afternoon at Leisure Half Day Lift Ticket Massage Facial Manicure Pedicure Fly Fishing Guided Cross Country Skiing Winter Horseback Ride Guided Snow Shoe Tour Snowmobile Excursion Dogsledding Snowcat Tour Activities January 16th Afternoon at Leisure Half Day Lift Ticket Massage Facial Manicure Pedicure
Tickets must be issued by Wednesday, December 5, 2007. You will receive a proposed itinerary within 5 days. Once you receive your proposeditinerary, you will have 24 hours to request any changes. If no reply is received in that timeyour ticket will be issued.