Ways to Apply CALL MAIL FAX - Sierra Club

[Pages:1]Ways to Apply

MAIL check, money order, or credit card information to:

Sierra Club Outings Department 85 Second Street, 2nd Floor San Francisco, CA 94105

CALL (credit card reservations only): 415-977-5588 (Monday?Friday, 8:30am?5:00pm, PST).

FAX (credit card reservations only): 415-977-5795

WEB

Please read our Reservation and Cancellation Policy before registering!

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Outings Reservation Form

MEMBERSHIP NUMBER

TRIP NUMBER

TRIP NAME

.

DEPARTURE DATE

YOUR NAME STREET ADDRESS

YOUR HOME PHONE

(

)

EMAIL ADDRESS

YOUR WORK PHONE

(

)

CITY

STATE

ZIP

PLEASE PRINT YOUR NAME AND THE NAMES OF OTHER PEOPLE IN YOUR PARTY

1.

IS THIS A NEW ADDRESS?

YES T NO T

PER PERSON COST

MEMBERSHIP NUMBER

PLEASE USE A SEPARATE SHEET TO LIST ADDITIONAL PARTY MEMBERS' ADDRESSES

BIRTHDATE (Month/Day/Year)

RELATIONSHIP

SELF

2.

3.

4.

TOTAL AMOUNT OF DEPOSIT

$

TOTAL MEMBERSHIP AMOUNT ENCLOSED (IF ANY)

$

TOTAL PAYMENT ENCLOSED

$

EMERGENCY CONTACT WHILE ON THE TRIP (NAME AND PHONE NUMBER)

THE FULL AMOUNT OF THE TRIP FEE IS DUE IF YOUR RESERVATION IS MADE LESS THAN 90 DAYS PRIOR TO TRIP DEPARTURE.

T Check T Money Order T VISA T MasterCard

CARDHOLDER NAME CARD NUMBER

SIGNATURE

EXPIRATION DATE

If you pay your deposit by credit card, we will automatically charge that credit card with the final payment 90 days before the trip starts. Make checks or money orders payable to Sierra Club and mail to: Sierra Club Outings Department, 85 Second St. 2nd Floor, San Francisco, CA 94105.

--------------------------------------------------------------------------------------------------------------------------------------------------

Outings Reservation Form

MEMBERSHIP NUMBER

TRIP NUMBER

TRIP NAME

.

DEPARTURE DATE

YOUR NAME STREET ADDRESS

YOUR HOME PHONE

(

)

EMAIL ADDRESS

YOUR WORK PHONE

(

)

CITY

STATE

ZIP

PLEASE PRINT YOUR NAME AND THE NAMES OF OTHER PEOPLE IN YOUR PARTY

1.

IS THIS A NEW ADDRESS?

YES T NO T

PER PERSON COST

MEMBERSHIP NUMBER

PLEASE USE A SEPARATE SHEET TO LIST ADDITIONAL PARTY MEMBERS' ADDRESSES

BIRTHDATE (Month/Day/Year)

RELATIONSHIP

SELF

2.

3.

4.

TOTAL AMOUNT OF DEPOSIT

$

TOTAL MEMBERSHIP AMOUNT ENCLOSED (IF ANY)

$

TOTAL PAYMENT ENCLOSED

$

EMERGENCY CONTACT WHILE ON THE TRIP (NAME AND PHONE NUMBER)

THE FULL AMOUNT OF THE TRIP FEE IS DUE IF YOUR RESERVATION IS MADE LESS THAN 90 DAYS PRIOR TO TRIP DEPARTURE.

T Check T Money Order T VISA T MasterCard

CARDHOLDER NAME CARD NUMBER

SIGNATURE

EXPIRATION DATE

If you pay your deposit by credit card, we will automatically charge that credit card with the final payment 90 days before the trip starts. Make checks or money orders payable to Sierra Club and mail to: Sierra Club Outings Department, 85 Second St. 2nd Floor, San Francisco, CA 94105.

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