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Reservation Form

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Name _________________________________________________________________________
(legal name as it appears on passport and/or drivers license)

Address _______________________________________________________________________

Telephone numbers ______________________________________________________________

E-Mail _________________________________________________________________________

Rooming with (Please include their telephone number if different than above):

_______________________________________________________________________________

NOTE: Final payment is due August 22, 2005. Balance may be paid by credit card.
If you will be paying the final balance with a credit card, send this section with your payment information:

Name _________________________________________________________________________

Billing Address _________________________________________________________________

Billing Phone ___________________________________________________________________

Card __________________________________________________________________________

Card Number ___________________________________________________________________

Expiration Date _____________________________

Security Code (number on back of card) _________

Signature _______________________________________________

Please print, fill out and mail, with your deposit, to Them Eastport Oyster Boys, 521 Second Street, Annapolis, MD 21403.

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© 2002 Them Eastport Oyster Boys
521 Second Street
Maritime Republic of Eastport
Annapolis, Maryland 21403
info@oysterboys.com

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