Triangle Singles Club

Fall Beach Trip to Myrtle Beach

September 13 – 16, 2012

Grande Shores Ocean Resort - Days Inn

201 77^th Avenue North, Myrtle Beach, SC 29572

Telephone: 1-877-798-4074 www.grandeshores.com

BEACH TRIP REGISTRATION FORM IS DUE WITH PAYMENT BY August 31, 2012.

The Club cannot guarantee these rooms or prices after August 31, 2012. Sign up early.

No refunds after September 7, 2012 unless you find a replacement.

Name: ______________________________________ Name of Roommate(s):

Street: ______________________________________ _____________________________________

City/State/Zip: _______________________________ _____________________________________

Phone #s: ___________________________________ _____________________________________

Email: ______________________________________ Smoking or non-smoking room.

Special request? _______________________________________ (only if possible, club cannot guarantee)

Emergency Contact’s Name & Phone # _____________________________________________________

Check Amount $ __________________ Check # __________

Note: Make checks payable to “Triangle Singles Club”. Mail form and check to:

Triangle Singles Club, PO Box 702, Cary, NC 27512, or sign up at the weekly dance.

Please circle number of nights & the price you want. Guest adds $5.00 to each price below.

Cost per person includes room, two buffet breakfasts, Saturday evening meal, and lunches on Friday and Saturday. Check-In: 4:00 PM; Check-Out: 11:00 AM

	Two Nights	Three Nights
2-Bedroom 2-Bath Condo –N Ocean View – 1 King & 2 Queen Beds Kitchen Living/Dinning Room with Sleeper Sofa, Balcony
2 person	$185.53	$249.44
3 persons	$142.92	$185.53
4 persons	$121.62	$153.57
1-Bedroom/ 1-Bath Condo –- N. Ocean View - 2 Queen Beds, Kitchen, Living/Dining Room with Sleeper Sofa, Murphy Bed, 2 TVs, Balcony
1 persons	$255.14	$353.85
2 persons	$156.42	$205.78
Single Rooms (Hotel Room with Refrigerator) – Oceanfront – 2 Queen Beds, Full Bath, 1 TV, Balcony
1 person	$227.29	$312.09
2 persons	$142.50	$184.90