50th Form

If interested in adding your name to the list of those serious (reasonably) about
attending the events in Korea in Aug 2005, please fill in the following and it will
be automatically registered.

This form will be submitted to David Merrill. You can email him directly with other questions here.

Korea 50th Information Form

Name:
(as appears on passport)

Email Address:

Phone

Mailing Address:

Number in Party

Departing from (airport):

Returning to (airport):

Departure date:

Returning date:

Do you want to stay with
the group itinerary?
    YES            NO

If not, please outline
other plans: