Complete and return one Travel Payment Coupon (below) with every payment. Checks and money orders should be made 

payable to TheConnectionClub.com. Payments must be received in our office BY THE DUE DATE. If necessary, contact your 

Group Leader or read promotional materials for your specific Trip Code.

Trip Code_______________ Travel Package Title___________________________ Travel Dates_______

Legal Name___________________________________ Email Address___________________________

Roommate Name(s)_____________________________________________________________________

Mailing Address__________________________________City,State,Zip___________________________

Day Phone_(____)_____________ Evening Phone_(____)_____________ Your DOB_________________

Cabin Choice - Inside / Outside (Circle One, if applicable – Cruise Bookings.) Preferences____________

This coupon MUST accompany all travel payments. We can not guarantee reservations without a fully-completed form. 

Return this form to: TheConnectionClub.com, P.O. Box 14456, Greenville SC 29610 by payment due date. Returned check 

fee - $35. Late payment fee - $35 per incident (reservations not guaranteed). Please indicate any roommate payments included 

in your total amount.  One signed Travel Agreement per-passenger is required.

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Trip Code_______________ Travel Package Title___________________________ Travel Dates_______

Legal Name___________________________________ Email Address___________________________

Roommate Name(s)_____________________________________________________________________

Mailing Address__________________________________City,State,Zip___________________________

Day Phone_(____)_____________ Evening Phone_(____)_____________ Your DOB_________________

Cabin Choice - Inside / Outside (Circle One, if applicable – Cruise Bookings.) Preferences____________

This coupon MUST accompany all travel payments. We can not guarantee reservations without a fully-completed form. 

Return this form to: TheConnectionClub.com, P.O. Box 14456, Greenville SC 29610 by payment due date. Returned check 

fee - $35. Late payment fee - $35 per incident (reservations not guaranteed). Please indicate any roommate payments included 

in your total amount.  One signed Travel Agreement per-passenger is required.

------------------------------------------------------------------------------------------------------------------------------------------------------

Trip Code_______________ Travel Package Title___________________________ Travel Dates_______

Legal Name___________________________________ Email Address___________________________

Roommate Name(s)_____________________________________________________________________

Mailing Address__________________________________City,State,Zip___________________________

Day Phone_(____)_____________ Evening Phone_(____)_____________ Your DOB_________________

Cabin Choice - Inside / Outside (Circle One, if applicable – Cruise Bookings.) Preferences____________

This coupon MUST accompany all travel payments. We can not guarantee reservations without a fully-completed form. 

Return this form to: TheConnectionClub.com, P.O. Box 14456, Greenville SC 29610 by payment due date. Returned check 

fee - $35. Late payment fee - $35 per incident (reservations not guaranteed). Please indicate any roommate payments included 

in your total amount.  One signed Travel Agreement per-passenger is required.