PASSENGER NAME(S): __________________________________________________________________________________________________

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EMAIL:  ________________________________________________________    CELL/TEXT:___________________________________________

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CITY & STATE FROM WHICH YOU ARE ARRIVING:_________________________________________________________________________

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​DO YOU HAVE ANY SPECIAL DIETARY REQUIREMENTS OR LIMITATIONS?  If so, please note below or on reverse side. _____

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DEPOSIT ($1,000 per person) ENCLOSED  $______________________       CHECK NUMBER: _________________

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Please make check payable to:     Phyllis Tate 

and MAIL WITH THIS FORM to:     P.O. Box 71027

                                                       Fairbanks, AK 99707

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EVIDENCE OF COVID-19 VACCINATION(S) FOR ALL PASSENGERS IS ENCLOSED. ________________________________________                                                                                                                                                     Signature of Applicant(s)

Don't hesitate to contact us if you have questions!!

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     Vladimir  (907) 699-5588                                         Phyllis   (907) 699-1025                                       Murray    (907) 699-8283

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