PSC Trip Coupon (One trip per coupon please) 












Work Phone (1):   (2):

Cell Phone (1):     (2):

E-mail Address (1):   (2):

Birth Date [Required by TSA] (1):   (2):

TRIPS:

  • Banff, Alberta, Canada, January 30, 2016 – February 6, 2016 (Choose lodging option below)
    Send $447 deposit per person to: Mike Baker, 1118 Williams Drive, Belle Vernon, PA 15012       Senior, 65+
          Standard interior hotel room      Exterior hotel room ($42 per person upcharge)

  • Beaver Creek, Colorado, January 16, 2016 – January 23, 2016 WAIT LIST ONLY (Choose lodging option below)
    Send $530 deposit per person to: Chris Lakomy, 4329 Hamilton Road, Pittsburgh, PA 15236       Senior, 65+
          Condo – up to four per room       Hotel – two per room

  • Davos, Switzerland, February 19, 2016 – February 27, 2016 (Choose trip extension option below)
          NO Trip Extension – Send $650 deposit per person to: Jörg Machatzke 329 Haldeman Drive Cranberry Twp, Pa.
          Trip Extension – Send $820 deposit per person to: Jörg Machatzke 329 Haldeman Drive Cranberry Twp, Pa.

  • Whitefish, Montana, March 13, 2016 – March 30, 2016
    Send $470 deposit per person to: Jack Fritz, 750 Windvue Dr., Pittsburgh, PA 15205       Senior, 65+       Over 70

Total Enclosed $

Mail coupon and check payable to “PSC” to Trip Contact listed for your trip.
For all trips outside the US, please send a copy of your passport ASAP!
**Be sure to write your name exactly as it appears on your passport or drivers license.
Airline tickets will be issued with the name you provided so please do not use nicknames.
If you didn’t provide an email address, don’t forget to send self”addressed, stamped envelopes for trip confirmation, other trip information and updates!

If your check is returned from the bank for insufficient funds, you may be required to pay PSC the NSF/Returned Check fee.


                         

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