Classic Travel
4767 Okemos Rd.
Okemos , MI 48864
(517) 349-6200 or 1-800-643-3449
Fax: (517) 349-6656

INTERLOCHEN CAMPER FORM 2008

Name of Camper :______________________________________________ Age: ______
(Legal Spelling) First Middle Last

Note: Unaccompanied Minor Service mandatory for ages 14 and under for fee

Instrument : (Mandatory)________________________________

One way / Round-trip (circle one)

Departure Airport : ______________________ Return Airport:_____________________

What Session will the Camper Attend? _______________________________________

What Division ? __________________________________________________________

What Program ? __________________________________________________________

What Travel Dates ? ______________________________________________________

Date Alterations Due to Family Travel: _________________________________________________________

Contact Name: _______________________________ Relationship: ___________________

Address: ______________________________________________________________________

Street City State Zip: ______________________________________________________________________

Phone (am) : ______________/ (pm) _____________________ Fax:____________________________

E-Mail: _________________________Card Holders Name: __________________________________

Credit Card Number: _________________________________Exp:___________________________

Frequent Flyer Account Number(s) _______________________________________________

Note: Please attach additional family member information on an additional page.

Fax completed form and additional family member information to (517) 349-6656

or mail to Classic Travel, 4767 Okemos Rd. Okemos , MI 48864