PAC 97

Advance Group Registration Form

Reduced Air Fares, Car Rentals
Pre & Post Conference Tours
May 11-16 1997 - Vancouver, BC

Please print clearly or type

Participant

	___Mr.  ___Mrs.  ___Ms.
	 		
	Full Name ______________________________________
			
	Company Name ___________________________________	

	Business Address _______________________________		

	City ___________________________________________				

	Province ________________ Postal Code __________	
                                
	Work Telephone ( ___ ) _________________________			     
                                
	Fax Number     ( ___ ) _________________________  			
                                
	Home Telephone ( ___ ) _________________________

Accompanying Person

				
	___Mr.  ___Mrs.  ___Ms.		
				
	Full Name ______________________________________

Airline/Flight & Car Rental Information

Advance Group has negotiated special discounted fares for PAC'97. In order to process any airline tickets, it is necessary for you to fill in all of the information requested below. A group co- ordinator will contact you for approval prior to issuing any airline tickets for you.

	Departure City/Airport _________________________		

	Departure Date ____________ Approx. Time _______

	Return Date _______________ Approx. Time _______

	Return Date _______________ Approx. Time _______		     

	Frequent Flyer # ___________ Carrier ___________

	Car Rental

	Do you require reservations:___Yes  ___No
		
	Dates - Pick-up: __________ Return: ______

	Preferred Car size: ______________________

Pre or Post Extension Requests -Indicate Choice

                                
	___Alaska Cruise	___May 18
                                
	___Inside Cabin		___Outside Cabin

	___Canadian Rockies	___May 15 or	___May 20

				
	___Whistler:		Check-In Date ___________
                                
	 			Check-Out Date __________     
                                

	___Victoria:		Check-In Date ___________
                                
				Check-Out Date __________

Payment Calculations

Please fill in dollar amounts ONCE you have received your confirmation from one of our group coordinators.

	Alaska Cruise	   ___ x $ _______   $ _______

	Canadian Rockies   ___ x $ _______   $ _______

	Whistler-One Night Deposit Required  $ 150.00

	Victoria-One Night Deposit Required  $ 175.00

	Total				     $ _______

Credit Card Information & Authorization

	Credit Card Type:  ___Amex  ___Visa  ___MC     Expiry _____

	Credit Card Number ________________________________________

	Name (as it appears on card) ______________________________
I have read, understand, agree to the credit card charges, conditions and penalties as outlined and authorize advance group to process the charges.

Authorization Signature _________________________________ Date Signed _______________

Advance Group

1800-1140 West Pender Street
Vancouver, BC V6E 4G1 Canada
Tel: 688-9655 in Vancouver area or toll free 1-800-555-1099
Fax: (604) 685-3521