Trip Registration

Please use this form to register with us for Memorial Day Weekend in Jamaica. One of our staff will contact you for completing the registration and providing you with your vacation package. Thanks for partying with iRIZE!

Please tell us your name

Name
Which vacation package are you interested in?

Trip
Enter the name(s) of your traveling companion(s) in the space provided below.
For Double occupancy , you must list at least one traveling companion.

Where would you like to leave from?

Please provide the following contact information so that we may confirm your reservation:

Address:
City
State
Zip
Work Phone:	Remember Area Code
Home Phone:	Remember Area Code
FAX:	Remember Area Code
E-mail:

Choose one of the following payment options:
Pay by check full amount now
Makes Checks or Money Order Payable To:
iRIZE LLC
c/o Pamela Bauldie
13300 Jefferson Commons Court
#203
Herndon, VA 20171

Registration is still open
All Payments due by
April 6th, 2000.

Write "Point Vilage Jamaica" on the memo line of your check
Pay by check payment plan