Birchwood Contract Bridge Tournament Registration

To register, print this form, fill it out and mail it with your deposit to:
Birchwood Inn - 7077 South Lake Shore Drive - Harbor Springs, MI 49740
Attn: Bridge Tournament

PERSONAL INFORMATION:

Name: _________________________________________________

Address: ________________________________________________

City, State, Zip: ___________________________________________

Phone Number: _____________________ E-Mail Address: ___________________________________

Club Membership (if any): ______________________________________________________________

Partner's Name: __________________________________________

Address: ________________________________________________

City, State, Zip: ___________________________________________

Phone Number: _____________________ E-Mail Address: ___________________________________

Is your team able to go up and down stairs?   ____ Yes     ____ No

Select Event: ____ Spring (May 2 and 3, 2009)      ____Fall (Saturday & Sunday, September 28 and 29, 2009)



SELECT ONE OF THE FOLLOWING:
____   Lodging Package: $184.00 per two-person team, double occupancy

____   Bridge-Only Package $124.00 per two-person team, bridge only

____   Early Arrival Package $74.00 per two-person team, double occupancy

Deposit Requirements: A deposit to $50.00 is required to secure your reservation. Deposits are refunded, less a $10 administration fee, if cancellations are made at least one week prior to scheduled arrival.


FORM OF PAYMENT:
____ Cash         ____Discover Card         ____MasterCard         ____Visa

Card Number _ _ _ _   _ _ _ _   _ _ _ _    _ _ _ _       Expiration Date: _ _   /  _ _

Authorizing Signature: ________________________________________________________