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

INTERLOCHEN CAMPER FORM 2011.

Name of Camper: ____________________________________________________ Age: ________ DOB: _____________
(Legal Spelling) First Middle Last

Note: Unaccompanied Minor Service is mandatory for ages 14 and under.  The airline charges a fee.

Instrument: (Mandatory) ___________________________________________________________

One Way / Round Trip (circle one)

Departure Airport: __________________________ Return Airport: _________________________

What Session will the Camper attend? ________________________________________________

What Division and Program? ________________________________________________________

What travel dates? ________________________________________________________________

Date alterations due to family travel? _________________________________________________

Contact Name: ___________________________________________________________________

Phone (am): ____________________  (pm) _____________________  (cell) __________________

Address: ________________________________________________________________________

City, State, Zip: ___________________________________________________________________

Email: ___________________________________________________________________________

Credit Card number: ___________________________________________exp ___________sec code ______

Frequent Flyer 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 email to info@classictravelusa.com

Or mail to Classic Travel, 4767 Okemos Road, Okemos, MI  48864