TRIP APPLICATION:

PVS SKI TRIP TO: Bulgaria & Slovenia 2-13 March 2008

Name(s): (1*) __________________________________ (2) ___________________________________________

Address: ___________________________________________________________________________________

City: __________________________________________________ State: ______ ZIP:_____________

Telephone: (Day): __________________________ (Evening): ______________________________

Cell: (1) _____________________________ Cell: (2) _____________________________

E-mail: (1) ______________________________ E-mail: (2) __________________________

Passport Expiration Date: (1) ________________ Passport Expiration Date: (2) ________________

Check applicable: Land only: ____ Single supplement: _____ Non-skier: _____ Smoker: _____

Roommate Preference *: _______________________________________

I (We) have read and the TRIP AGREEMENT and agree to the terms presented (Signatures(s) of each person listed on the form is required):

(1*) _________________________________________ (2) _________________________________________ Date:__________

Additional Comments: ______________________________________________________________________

_______________________________________________________________________________________

Mail to: Marianne or Kerry Hines, 11019 John Marshall Highway, Delaplane, VA 20144