TravelFriends Trip Registration Form

Trip Name:__________________________________

Your Name & Phone #:_________________________

___________________________________________

Address:____________________________________

___________________________________________

Method of payment:   _____Check     _____Visa     _____MasterCard    _____Discover

Credit card #____________________________________________________

Expiration date:______________________

Signature:_________________________________________________

Please print and fill out this form and return to:

Center in the Woods

Attn: Travel Friends

130 Woodland Court

Brownsville, PA 15417