Pruzansky Family presents Pesach at the Friar Tuck Inn


Kindly complete theonline registratin form and submit to us for processing.

Name:
Address:
City: State: Zip:
Home Ph:
Office Ph:

· Please list full names, addresses, and phone numbers of any additional guests in "special instuctions" below on this form

Accomodations Classic Superior Deluxe
All of Pesach
11 days – 10 nights
Fri. Apr.18 – Mon. Apr. 28		 $2,049.00 $2,149.00 $2,249.00
Pesach: First Days
5 days – 4 nights
Fri. Apr. 18 – Tues. Apr. 22		 $1,229.00 $1,289.00 $1,349.00
Pesach: Last Days
4 days – 3 nights
Fri. Apr. 25 – Mon. Apr. 28		 $819.00 $859.00 $899.00
Daily Rate $299.00 $299.00 $299.00
Erev Pesach
1 night & breakfast
Thurs. April 17		 $199.00 $199.00 $199.00

Children in the same room - under age 1 $25.00 per day - age 1-12 $699.00 - over age 12 $799.00
A deposit of $250.00 per person is required to insure that your reserved facilities
will be available upon your arrival.
The Pruzansky Family is committed to insure your total satisfaction.
— SPECIAL ATTENTION FOR LARGE FAMILY GROUPS —
· All above rates are per person based on double occupancy plus 25% gratuities and tax
· Minimum single room rate 60% surcharge.
· Transportation can be arranged.

Date of Arrival:
Date of Departure:

I hereby reserve the following:

No. of Rooms: Accommodations:
No. of Rooms: Accommodations:
No. of Rooms: Accommodations:
No. of Rooms: Accommodations:

How many Adults:
Children 1-12 yr:
Children 12 yr & up
Infants
Extra Night(s)

We are in need of transportation to the hotel ($75 p.p. each way)
We are in need of transportation from the hotel ($75 p.p. each way)
We are in need of a refrigerator

Credit Card Information

Credit Card Number:
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Expirations Date (MM/YY /

Full balance to be paid by April 8, 2008

Check all that apply:
Special Diet (Sugar Free, Salt Free, etc.), Please explain:
Day Camp Needed for boys, ages:
Day Camp Needed for girls, ages:
Crib needed: - Portable - Full size - High chair

If you wish to share a table with a family, please indicate with whom:
Special Instructions or Comments:

Upon receipt of signed form and required deposit, you will receive a confirmation.

Please type your name and date.

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