Road Trip Sign Up
 This form is for Credit Card ONLY. If paying by cash, you need to sign up at Fan Club Table or Meeting. 
Once you sign up and pay, you will receive an email confirmation and the trip itinerary. 
If the number of deposits listed for the trips are not received by the deadline, the trip will be canceled, and refunds will be issued. If an additional vehicle is needed to be added, the minimum number of people for that vehicle needs to be met. Payments are non-refundable unless the trip is cancelled.
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Name(s): *
Phone Number(s): *
Email Address: *
Which Road Trip are you signing up for? *
Road Trip Payment- Credit Card- 4% processing fee already added (Payable below- click on blue link first for payment and then make sure to come back and submit the form) *
Are you a fan club member? 
If not, there will be a $20.00 surcharge per person. Credit Card- 4% processing fee already added (Payable below- click on blue link first for payment and then make sure to come back and submit the form)
*
I agree to abide by the PBFC Trip Rules and regulations set forth by the Providence Bruins Fan Club and will sign a registration form for the trip. 

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