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Registration Form
Complete and return with your deposit check made to "HOME AT FIRST".
Mail to HOME AT FIRST, P. O. BOX 193, SPRINGFIELD, PA 19064 USA

NAMES & BIRTHDATES OF ALL IN PARTY _____________________________________
(Names & Birthdates as printed on Passport are required for any flight reservations.)

 _____________________________________________________________________

 _____________________________________________________________________

ADDRESS _____________________________________________________________

 _____________________________________________________________________

TEL: _________________________________ FAX: ___________________________

E-MAIL: ______________________________________________________________

CHOOSE FROM THESE HOME AT FIRST PROGRAMS:
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COTTAGES & APARTMENTS IN
 GREAT BRITAIN and IRELAND

qFull Package         q Lodging Only         qLand Arrangements Only        

YOUR FIRST DESTINATION _________________________________________________
Start Date: ____________ End Date: ______________ #Adults_______ #Kids _______
under 12
YOUR SECOND DESTINATION  ______________________________________________
Start Date: ____________ End Date: ______________ #Adults_______ #Kids _______
                                                                 under 12
YOUR THIRD DESTINATION _________________________________________________
Start Date: ____________ End Date: ______________ #Adults_______ #Kids _______
                                                                                   under 12
YOUR FOURTH DESTINATION _______________________________________________
Start Date: ____________ End Date: ______________ #Adults_______ #Kids _______
                                                                                   under 12

     QUALITY BED & BREAKFASTS, INNS, & SMALL HOTELS in
     GREAT BRITAIN and IRELAND
Select one option from each of the next two lines:
         qFull Package                                        qLand Arrangements Only
          q Home At First Designed Trip       q Custom Self-Designed Itinerary
q NEW ZEALAND:
    1st Occupancy Date: ________________ #Persons _____     #Days in NZ _____

q SCANDINAVIA:
    1st Occupancy Date: _______________ #Persons _____  #Days Occupancy _____
       Choose your preferred itinerary design (select only one):
     q"Scandinavia À La Carte"     q"Scandinavian Capitals"  q"Best of Sweden"
     q"Beautiful Coastal Norway"  q"Best of Norway"         q"Norway Plus London"

SPECIAL REQUESTS &/or NEEDS:  ___________________________________

 ______________________________________________________________________

 ______________________________________________________________________

 ______________________________________________________________________

 FLIGHT INFORMATION:
Do you need U.S. domestic connecting flights?          qYES          qNO
Write your Originating Airport for this trip: ____________________________________
Departure Date: _______________________  Return Date: ______________________

 NON-REFUNDABLE DEPOSIT:
 .
        Enclosed: $400.00 x____ persons = $____________________.00
                   (make check payable to "HOME AT FIRST")

 _______________________________________________   _____________________
                                            Your Signature                                                       Date
 .