To
Make A Reservation for your Recreational Activities:
Please
select activities from the list and alternate activities should your first
selections be unavailable. Phone
Diane or Amanda at the B.E.T.A. office at 800-555-4260 or 805-965-6210.
You may also contact B.E.T.A. by email at:
dianed@betainc.com .
Or, complete the information below and fax your reservation request to
the B.E.T.A. office at 805-965-6230.
You will receive a fax or email confirmation of your activities, together with pertinent information related to your individual activities.
Should you have any questions regarding the activities please do not hesitate to call the B.E.T.A. offices for assistance.
Participant’s
Name:
______________________________________________________
Contact
Phone #:
__________________
Contact Fax #:
__________________
Email
Address:
______________________________________________________
Activity
Selection:
______________________________________________________
Date:
Tues., August 1st
Wed., August 2nd
Thurs., August 3rd
Circle one
Activity
Selection:
______________________________________________________
Date:
Tues., August 1st
Wed., August 2nd
Thurs., August 3rd
Circle
one
Alternate
Selection:
________________________________________________________
Date:
Tues., August 1st
Wed., August 2nd
Thurs., August 3rd
Circle
one
Alternate
Selection:
________________________________________________________
Date:
Tues., August 1st
Wed., August 2nd
Thurs., August 3rd
Circle
one
Payment:
VISA or
MASTERCARD #: ________________________________
Exp. Date: __________
Circle One
Name
that appears on Credit Card: ____________________________________________
Cardholder’s
Signature: _____________________________________________________
Thank You!
Upon completion, please fax this form to 805-965-6230