Tour Name

Tour Date

Your Name

Nickname

Address

City/State/Zip

Phone

Cell Phone

Email Address

Roommate's Name

Please note your departure:
---Salina Quality Inn exit 92 off I-135McPherson Econolodge exit 60 off I-135Newton Days Inn exit 31 off I-135Wichita Best Western exit 13 off I-135Enroute

If you selected "Enroute" please tell us: