Registration Form

Complete & return with your deposit check made to "HOME AT FIRST".
Mail to HOME AT FIRST, P. O. BOX 193, SPRINGFIELD, PA 19064 USA

NAMES & BIRTHDATES OF ALL IN PARTY_______________________ _______________________________________________________
(Names & Birthdates as printed on Passport are required for any flight reservations.)

_______________________________________________________

_______________________________________________________

ADDRESS_______________________________________________

_______________________________________________________

TEL: ___________________________ FAX: ___________________

E-MAIL:_________________________________________________

 

  CHOOSE FROM THESE HOME AT FIRST PROGRAMS: 
.
CHALETS, COTTAGES, & APARTMENTS IN

BRITAIN, IRELAND, PARIS, & SWITZERLAND

__Full Package      __Lodging Only      __Land Arrangements Only

YOUR FIRST DESTINATION _________________________________

Start Date:__________ End Date:__________ #Adults___ #Kids ___

                                                                                                                Under 12

YOUR 2ND DESTINATION____________________________________

Start Date:__________ End Date:__________ #Adults___ #Kids ___

                                                                                                                Under 12

YOUR 3RD DESTINATION____________________________________

Start Date:__________ End Date:__________ #Adults___ #Kids ___

                                                                                                                Under 12

COTTAGES & APARTMENTS, or QUALITY BED & BREAKFASTS INNS IN

BERMUDA & ICELAND

__Full Package      __Lodging Only      __Land Arrangements Only

Start Date:__________ End Date:__________ #Adults___ #Kids ___

__BERMUDA:
1st Occupancy Date:_____________ #Prs___  #Days in Bermuda ___

__ICELAND:
1st Occupancy Date:______________ #Prs___ #Days Occupancy ___

Choose your preferred itinerary design (select only one):

__Iceland Only  __7 Days   __10 Days   __Other____________________

__3-Day Iceland Stopover + 1-Week London     __1-Wk Iceland + 1-Wk London

__3-Day Iceland Stopover + 1-Wk Cotswolds     __1-Wk Iceland + 1-Wk Cotswolds
__
3-Day Iceland Stopover + 1-Week Norway     __1-Wk Iceland + 1-Wk Norway
__
3-Day Iceland Stopover + 1-Wk Denmark     __1-Wk Iceland + 1-Wk Denmark

NOTES:___________________________________________________

QUALITY BED & BREAKFASTS, INNS, & SMALL HOTELS in

NEW ZEALAND and SCANDINAVIA

Select one option from each of the next two lines:

__Full Package                                  __Land Arrangements Only
__Home At First Designed Trip     __Custom Self-Designed Itinerary

__NEW ZEALAND:
1st Occupancy Date:______________ #Persons___  #Days in NZ ___

__SCANDINAVIA:
1st Occupancy Date:______________ #Prs___ #Days Occupancy ___

Choose your preferred itinerary design (select only one):

__Scandinavia La Carte    __Scandinavian Capitals      __Beautiful Coastal Norway

__Best of Sweden  __Best of Norway   __Norway+London   __Norway+Scotland
__Scandinavian Capitals + London

SPECIAL REQUESTS &/or NEEDS: _______________________

_______________________________________________________

FLIGHT INFORMATION:
Do you need U.S. domestic connecting flights?      
  __YES          __NO

Your Originating Airport for this trip:__________________________

Departure Date:________________ Return Date:_______________

NON-REFUNDABLE DEPOSIT:.
Enclosed:
$600.00 x___ persons = $_____________________.00

(make check payable to "HOME AT FIRST")

________________________________________   ______________
                                   Your Signature                                              Date