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Same Page, LLC t/a Golden Eagle,  Ph. (732) 681-6144  Fax (732) 613-2756 Dock (732) 681-6137

            PREPAID RESERVATION ORDER FORM (for 8 or more spots) 2008 Season (Rev. 06/23/07)

Fax or mail this completed form. We must receive it no less than 24 hrs prior to date desired.

Once processed, we will fax or mail a boarding confirmation & authorization.

(Fill in all blank spaces)

NAME  

COMPANY (if any)        

STREET           

CITY, STATE, ZIP         

Home phone                                                                   Work phone     

Fax                                                                                 Cell phone      

Trip Date                           Day of Week                                                         Day or Night run ______

Please charge my (circle one) VISA    or    MASTER CARD   for (Total Due)   $              shown on breakdown below. I understand my group must be on board 1/2 hour before departure and that prepaid, reserved space is non refundable. However, if written notice is given at least 24 hours in advance of the trip departure, I may receive a full refund less 15% of the original prepaid amount. **Child is 12 yr old & under *Senior is 62 & older.  Rates valid through Sept. 2008.

                                                                                              #  of                       Rate                                         

_____  Adults @ $50 (Week Days) $53.00 (Sat & Sun) =$ __________

                                                 _____  **Child @ $35 =$ __________

                                                 _____  *Senior @ $40 =$ __________

                                                                                Total Passengers               _____    TOTAL =$ __________

                                                                                                              _____  Rods @ $7 =$ _________

                                                                                                                         TOTAL =$ __________

Cardholder Billing Information:

Cardholder Name _______________________________________      HomePhone _______________________

CARD #  _____________________________________________ VCode ___________   Exp Date ________________

Address (If different from above) ____________________________________________________________________

                 City / State / Zip         ____________________________________________________________________

                        Signature          _____________________________________________________