Trip:______________________
Date:_______________________
Name:_______________________
Adress:_____________________
City:__________ State:_______
Phone:_______________________
If more than one person please include other names.
_______________________________
_______________________________
_______________________________
_______________________________
A 30.00 per trip per person deposit is required.
There will be no refunds issued if the trip goes on as scheduled.
If trip is cancelled a full refund will be issued.
Non Members please add $10.00pp
Mail to: PBBC
22 Pond Street
West Warwick, RI 02893
