Trip Leader Form

TRIP LEADERS PRICING WORKSHEET & INFORMATION FORM

Before completing this form, please verify with Kathy Litch, vcckathylitch@gmail.com, that the date you want is available. After verifying the date, fill in the form below and click Submit. For assistance in filling out this form, please contact Kathy Dolence, 561-213-5211 or Jim Hartman, 352-250-9031.
All receipts must itemize tax and tip. If no tax is charged, a vendor receipt showing so is required. All receipts are to be submitted to Jim Hartman.

* Indicates required field

Trip Name *

Trip Date* *

Trip Leader #1 Name(s) (both first and last names) *

Trip Leader #1 Email (enter the one email address you want to be contacted) *

Trip Leader 1 Phone Number (only one phone number) *

Trip Leader 2 Name (first and last) (if applicable) *

Trip Leader 2 Email *

Trip Leader 2 Phone Number *

Maximum Number of Attendees *

Vendor #1 Name and Address *

Vendor #1 price without tax and tip *

Sales Tax #1 *

Tip #1 *

Total Price (vendor #1 price plus sales tax plus tip) *

Vendor #2 Name and Address *

Vendor #2 price without tax and tip *

Sales tax #2 *

Tip #2 *

Total Price (vendor #2 price plus sales tax plus tip) *

Number of paying attendees without leaders *

Trip Meeting Place *

Meeting Time *

Departure Time *

Approx time to return to the Villages *

Is trip handicap accessible? *

Yes No

Describe the trip - what will we see or do, etc *

Submit