2019 Road Trips

1General Information

2Name(s) of Attendees

3Trip Pricing Information

4Payment Information

2019-2020 Road Trip Information

Welcome to the 2019-2020 Lehigh Valley Phantoms Phan Club Road Trip Signup page! This year we have Three big road trips planned!

If you plan on attending more than one of the road trips this year, you will need to fill out the form for each trip here, sorry, but this had to be done in order to keep the data separate and allow you to have a different number of people attending each trip.

Note: The Canadian Trip to Belleville/Toronto has been cancelled. Please do not select it from this form.

Please fill out this form for the selected trip(s) you are currently signing up for.
Which Trip are you signing up for?*
Please select the trip you are signing up for.
Note: All trips must have payment in FULL no later than 30 days prior to the date of the trip.
Are you putting a Deposit down or payment in full?*
A Deposit of $50 Per Person is required to secure your spot(s) on the bus. However, you can chose to pay for the trip in full.
Single or Double Occupancy Room?*
Please Note: An Additional $70 will be added to your rate for a single occupany
Passport Required*
The trip to Bellville/Toronto is leaving the United States and because of this, a Valid Passport is required for each person going on the bus trip. Please, place a checkmark on this section to acknowledge that you are aware and will ensure that a valid passport is required for ALL persons you are signing up for this trip.
- Yes, I acknowledge that I am aware that a valid Passport is required for the Bellville/Toronto Trip.
Number in your group?*
How many people are you paying for (or making a deposit) on, please include yourself in the count of the number of people.
Please enter a number greater than or equal to 1.
All are current members of the Phan Club*
This trip is for members of the Phan Club, if any person in your group is NOT a member of the phan club, a $15 Per Person charge will be added to your reservation.
Number of Non-Members*
Please let us know how many in your group are non-members of the Phan Club. A $15 Surcharge will be added for each non-member signing up for trip (they will become a member for future road trips)
Please enter a number greater than or equal to 1.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Paying By:*
PayPal Payment

Since you have selected payment via PayPal, we wanted to inform you that you will be redirected to the PayPal page when you select 'Confirm Registration' button below. You are not fully registered for this trip until your payment has been made via PayPal
Credit Card Payment

Since you have selected payment via a credit card, we wanted to inform you that your card will be charged when you select 'Confirm Registration' button below. You are not fully registered for this trip until the payment has been accepted by credit card company.
Credit Card
Card Details
Cardholder Name
Total
$0.00
Name
This field is for validation purposes and should be left unchanged.

2019 Road Trips

2019-2020 Road Trip Information

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