Penguin Ski Club Trip Form
This form is to be used by any member planning any type of trip (day, bus, self drive, fly, etc.). Please click print button above and fill it out accordingly and submit to Doreen Howley, Trip Coordinator

Trip Leader ______________________________Phone #________________________

Date of Trip: From _____________________ To ______________________________

Destination Resort ____________________________ Phone #___________________

Address_________________________________________________________________

Contact _____________________Phone #________________Fax #________________

Web-site Address _______________________________________________________

RESORT ______________ (#Rooms)
Payable to: _____________________________________________________________

Total Amount Due: $_______________Paid in full by______/______/_____

Cancellation Refund: $_______________if canceled by_____/______/_____

Initial deposit required: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

LIFT TICKETS ______________ (#Tickets)
Payable to: _____________________________________________________________

Total Amount Due: $_______________Paid in full by______/______/_____

Cancellation Refund: $_______________if canceled by_____/______/_____

Initial deposit required: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

TRANSPORTATION __________ (#Seats)

___ Bus ___ Self-Drive ___ Air ___ Other

Payable to: _____________________________________________________________

Total Amount Due: $_______________Paid in full by______/______/_____

Cancellation Refund: $_______________if canceled by_____/______/_____

Initial deposit required: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

Subsequent deposits: $_______________due by_____/_____/_____

TOTAL COST PER PERSON
$ _________ per person single occupancy
$ _________ per person double occupancy
$ _________ per person triple occupancy
$ _________ per person quadruple occupancy

Above prices reflect:
_______ (number of people)
_______ (number of rooms reserved)
_______ (number of lift tickets)
_______ (number seats / bus or air)

TRIP DETAILS
LODGING : ______ days _______ nights
LIFT TICKETS: ______ days
TRANSPORTATION: ______ days
FOOD: ___ Breakfasts ___ Dinners ___ Snacks
NON-MEMBER FEE: # _____________ $ ______________
OVERAGE $ ______________
LOSS $ ______________

DETAILS / COMMENTS:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Reviewed: _____________________________________________/_____/_____
Trip Coordinator

Board Approved: ___________________________ _____/_____/_____
Revised: 5/20/05
3/2/04 7/24/02