PRINT  OUT  THIS  FORM AND MAIL TO  THE  ADDRESS  LISTED  BELOW

@MOORE'S INLET -WILDWOOD,NJ - SEPT 21-22-23, 2001 2000 IRISH WEEKEND PACKAGE RESERVATION FORM  Prices are as follows:  Double Occupancy - $160.00 PerPerson Triple Occupancy - $135.00 PerPerson Quad Occupancy   - $125.00 PerPerson (all prices are per person and include the 8% sales tax) ***** FIRST COME - FIRST SERVE BASIS ***** PLEASE MAKE CHECKS PAYABLE TO:  BLACKTHORN 720 Fretz Road Souderton, PA 18964 1.  NAME (PRINT)_______________________________________________     ADDRESS _________________________________________________     CITY    ______________________ STATE____ ZIP_____________     HOME PHONE  (   )_____________ WORK  (   )_______________ 2.  NAME (PRINT)_______________________________________________     ADDRESS _________________________________________________     CITY    ______________________ STATE____ ZIP_____________     HOME PHONE  (   )_____________ WORK  (   )_______________ 3.  NAME (PRINT)_______________________________________________     ADDRESS _________________________________________________     CITY    ______________________ STATE____ ZIP_____________     HOME PHONE  (   )_____________ WORK  (   )_______________ 4.  NAME (PRINT)_______________________________________________     ADDRESS _________________________________________________     CITY    ______________________ STATE____ ZIP_____________     HOME PHONE  (   )_____________ WORK  (   )_______________

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