Historic Georgetown Inc. - Special Events

Special Events Payment Form

Last Name:
First Name:
Mailing Address:
Street Address:
(if different)
City:
State or Province:
Country:
Zip or Postal Code:
Phone Number:

Email Address:

Please register me for the following HGI event(s):

Event	Date	Number of People	Amount
Hamill House Christmas Receptions Members $75, Non-members $90
Victorian Homes Tour * Adult $20, Seniors/Children $15
Hamill House and other Tours
Adult $4, Seniors/Students $3, Family $10, Group tours $3 per person for over 15 people, Combo $7 (Hotel De Paris, Energy Museum and Hamill House), Walking Tours $8, $1 off for AAA Members
*Other special events (name,date):*



Comments:

*Credit card receipt and vouchers will be mailed to you. Make sure you complete the address section of this form. You may pick up the tour book and map at Strousse Park the day of your reservations.

Total amount to charge on credit card:	$
Credit Card Type: (Mastercard or VISA only)

Credit Card Number:
Expiration Date:
Security Code: (3-4 digit code on back of card)

To become a member of HGI or renew your membership, please use the Membership Form.

Send form electronically or print this page and fax to Historic Georgetown, Inc. at (303) 569-2111, or print and mail with check to: P.O. Box 667, Georgetown, CO, USA 80444.