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Check your calendar – Register today - $100.00 per person deposit
 

Please choose which trip you'll be joining us on:   

Today's Date:  

Name(s) - These will be put   
on our name badges—first and last:  

Address:  

City:  

State:  

  Zip: 

Phone:  

Email Address:  

Explain any health problems  
that may affect trip participation:  

Please send $100 per person (make check payable to Russell Tours)
with this registration form to:

Russell Tours, 1705 W. Wahkonsa Ave., Polk City, IA 50226
Phone: 515/984-7684  :  Cell: 515/210-1880 or 515/210-1881

E-Mail: jimandbec@mchsi.com
 www.russelltrips.com

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