The Following Form is For: 10-17 to 10-19, 2023-Four GA Islands in Three Days
Date: October 17-October 19, 2023
Price: $799 pp dbl occ; $999 pp singl occ

Trip: 10-23gaisl

Email Address:

1. First Name: 1. Last Name:

2. First Name: 2. Last Name:

Non-Spouse Roommate [Signing Up Separately]
If Overnight, I Will Room With...

Organization Name [If Applicable]:




Zip Code:

Home Phone Number:

Work Phone Number:

Fax Number:

Send Trip Detail 10 Days Before Departure, By Email... By Regular Mail...

I am Sending a Check for the Following Amount...

Special Message / Dietary Request, etc.

Following is our disclaimer. By sending in the form, you will agree to the following: I (we) waive any claim against tour coordinators, Weekend Get-Aways on a Tank of Gas, LLC or Scottie Davis for any damage to or loss of property or injury to or death of persons due to any act of negligence by any bus, hotel, or other persons rendering any of the services and accommodations on this trip. The tour coordinators, Weekend Get-Aways on a Tank of Gas, LLC and Scottie Davis shall not be responsible for any delays, substitution of equipment or itinerary or any act of omission whatsoever by the carrier, its agents, servants, and employees. Participants and travelers hereby waive any claim(s) arising there from. The receipt of full payment by any participant indicates acceptance of these terms and conditions. Full payment is needed to reserve space on a trip. No refunds will be given after the deadline date unless you find someone to take your place. In the event the trip is cancelled, all monies paid by participants will be refunded immediately.

Weekend Get-Aways On A Tank Of Gas, LLC. | P.O. Box 7226 | Hilton Head Island, South Carolina | 29938

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