Sixth Annual Mission to Jamaica--2015 Sponsored byUnconditional Love for Children, Inc. (ULC)--In association with The Earl and Carolyn Glenn Foundation, Inc. (ECGF) Secrets Resort and Spa, Montego Bay, Jamaica, WI Dec. 2-6, 2015 REGISTRATION FORMDeadlines 1.ULC registration deadline is Aug. 20, 2015; *Trip accommodations confirmed after Aug. 20 will be based on availability and rates--some room types may increase after Aug. 202.Hotel deposit deadlines: Aug. 20, Sep. 15, Oct. 15: All payments made to The Champion Newspaper Contact Information Name_________________________________________ Roommate __________________________________________ Email _________________________________________ Roommate Email_____________________________________ Day Ph __________________________ Eve Ph___________________________ Fax____________________________Mailing Address____________________________________________________________________________________ Special Needs/Preferences: Booking more than 4 nights Circle before or after mission dates; wheelchair; diet; 2 double beds or 1king, etc. ___________________________________________________________________________________ Registration Fee: $175 pp--Due Aug. 20 along with registration form (Registration is non-refundable) Fee includes airport transfers, shopping excursion, group activity,For you$___________ hospitality/meeting rooms, miscellaneous Your guest $___________ REGISTRATION PAID$*__________ Accommodations per night @ 4 nights:Double SinglePref. Dbl.Pref. Sgl.X# Days SECRETS ST. JAMES (circle one) 184/368 204226/452 251 X ______ =$*________OR SECRETS WILD ORCHID (circle one) 199/398 220246/492 271 X ______ =$*__________ Aug. 20, Room amount due -- 1/4 of total is due + registration Amt. Paid $___________ Sep. 15, Room amount due--1/4 of total is dueAmt. Paid $___________ Oct. 15, Room Balance due-- Balance due Amt. Paid $___________ NOTE: If space available, you may register up to a total of seven (7) nightsat the group rateconsecutive days before or after mission dates TOTAL PAID$__________ NOTE:Add together lines with the * and place total paid on Aug. 20 date Cancellation fees charged per person for full nightly published room rate selected above: Before Sep. 15one-night charged; After Sep. 15--2-nights charged; After Nov. 1full amount charged. Substitute names OK until 11/15

Payments: Make checks payable to The Champion Newspaper. All major credit cards accepted. Mailing address and fax are secure. If guest using separate credit card, complete separate forms. Type of card____________ Name on card __________________________Card #____________________ Exp. Date____ Exp. Date. ________ Security code________ Total Paid $____________Date__________ If paying check, check #______ Signature approving amounts and cancellation policies above __________________________________Date__________ More information to follow on travel tips, mission activities, packing party, special assignments. E-mail form to: ulcglennjamaica@gmail.com*Secure Fax 770-908-0492 * Questions: Call Mary Ann @ 404-373-7779 Ext. 0*Mail to: Attn. Carolyn Glenn, Jamaica Mission Trip, ACE III Comm., Inc., P O Box 1347, Decatur, GA 30031