The National Grange of the Order of Patrons of Husbandry

Annual Convention Tour Registration



ROCHESTER NEW YORK
TOUR REGISTRATION FORM

Tour #
Tour Name
Tour Date
Time of Tour
Cost Per Person
No. of People
Amount Due
COH
Circle of Hope
Thursday
11/11
2:00pm - 6:00pm
$55.95
______
$ ______
Tour includes: Mount Hope Cemetery, Highland Park, Susan B. Anthony House and stops along the Underground Railroad.
WPO
Waterloo Premium Outlet
Thursday
11/11
12:30pm - 6:00pm
$35.00
______
$ ______
Tour includes: A box lunch, mall coupon book and shopping time at the Waterloo Premium Outlet Mall.
Grand Total . . . . . . . . . .
$ ______

All tours are minimum 25 people. We Care Transportation reserves the right to cancel tour if insufficient number of attendees. All prices are in U.S. dollars. Payment to be made to We Care Transportation by check, major credit card or on line. Click Here!

You can call your credit card payment information in to Rosalie Rakoczy at (716) 614-1114 ext. 111 or Kristen Mayer at (716) 614-1114 ext. 112. or simply mail this registration form with your payment to:

We Care Transportation
401 East Amherst Street
Buffalo, NY 14215 or

Name: Mr. Mrs. Ms. ___________________________________________________________________
 (First Name) (Middle Initial)(Last Name)
Address: ____________________________________________________________________________
City: ________________________________ State: ____________ Zip Code: ____________________
Country: _________________ Phone No: _______________________ Fax No: ___________________
Credit Card No: ___________________________________________ Expiration Date: _____________
E-mail: _____________________________________________________
Names of accompanying travelers: _______________________________________________________

Do you need handicap accessible transportation during your visit?

 

NATIONAL GRANGE OF THE PATRONS OF HUSBANDRY
1616 H Street NW • Washington, DC 20006
(888) 4-GRANGE • (202) 628-3507 • Fax: (202) 347-1091
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