The Pulp September 2011

8/4/2019 The Pulp September 2011

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Upcoming Events:

September 13th, 2011Tuesday night PulpwoodQueens of East TexasBook Club Fall Kick-offmeeting in Jefferson,Place to be announced,will feature television andfilm writer/author, JennyWingfield of"The Man

and the Moon"film famestarring ReeceWitherspoon, filmed inNatchitoches, La will beher as our featured guestand to speak of her latestbook, "The Homecomingof Samuel Lake". Wewould like to invite you all

to come and bring a friendbut must make areservation by emailing meat kathy@beautyandtheb

ook.com asspace will belimited. Seeyou then!

Pulpwood Queens

Founder Kathy Patrick

Dear Readers,

I have had quite a year! And this past month was a doozy, been dealing with pneumonia, the nerve!

But I told myself if I ever got through this pneumonia, I was starting a NEW Bucket List! And at the

top, TRAVEL Big Time my friends!

Now my birthday, 55th to be exact, is the 27th of this month of August! Good Lord, I am now going to

be the speed limit. I usually have a birthday party for myself. As a child, my birthday was always

either the first day of school or thereafter! We weren't allowed to have a party at school and nobody

ever wanted to send their children to a birthday party after the first day of school. Then on top of thatI would always get school clothes for my birthday! I know, I know, mini violins, enough already.

So every year I do something special for my birthday and this year am I ever. I am going with my

Pulpwood Queens of South Houston, Friendswood to be exact, on their Christmas Tour in England this

coming December. And I already lined up a Pulpwood Queen roommate, Sally Rathbun, of my East

Texas chapter to go with me. Then today as I gave my credit card for the deposit I found out author,

Kathryn Casey might be on board. Oh, boy, oh boy, oh boy, authors on a trip, oh boy! Now I am really

getting excited!

So who would like to go with me and The Pulpwood Queens back to Europe? See the incredible photos

above of where we are going all decorated for Christmas in England and the full itinerary, contact info

for Diane Blanco, our coordinator, and registration form below. Call your girlfriends, let's go!

Now you may say, I don't have the time or the money, but honey, if there is a will, there is a way. I

plan on living for awhile on beanie weenies, ramen noodles, and macaroni and cheese and after the

first weekend of Candlelight Tour in Jefferson, Texas at my shop, Beauty and the Book, it gets deader

than a doorknob anyway until our Girlfriend Weekend in January!

And I can tell you the price is a deal as I took my Pulpwood Queens on a Literary Tour of France and

Italy like six years ago and it was $2500. So for this girls reading and writing life, I plan on adding

travel to my BUCKET LIST agenda!

I had just read The American Heiress by Daisy Goodwin which is now our November 2011 Official

Pulpwood Queen Book Club Selection which is the story of a young woman who travels to England and

ends up marrying royalty. Now I am just dying to see some of the places the author described. Oh, theplaces books will take you. I am even going to try and arrange to see if we can meet Daisy when we fly

over the big pond. Now wouldn't that be cool.....

So Happy Birthday to me and Merry Christmas too! I'll be back ready for the holidays fully inspired

for the New Year and our 12th Anniversary Girlfriend Weekend! And as I always tell my Pulpwood

Queen Book Club Members, "At this age, if it ain't big time fun, I ain't doing it!"

Singing, "Joy to the World",

Kathy L. Patrick

Founder of the Pulpwood Queen Book Clubs, the largest "meeting and discussing" book club in the

world!

Volume 1, Issue 5

The Pulp

The Off ic ial Pulpwood Queens Newsletter

The Pulpwood Queen Takes A European Vacation

September, 2011


2/8

When I was a kid, I was fascinated with the circus. Carnivals would come to town and we

kids would beg to go to the fairgrounds to ride the rides and watch the shows. A traveling

theatre troupe once put on the play, TOBEY TYLER, for our entire school and I dreamed of

running away with the circus! As an adult I finally got to take my daughters to see the

BARNUM and BAILEY Circus which truly was The Greatest Show on Earth! Throw in

the reading of Pulpwood Queen picks Rain Village by Carolyn Turgeon, Water for

Elephants by Sara Gruen, Frank Delaneys Venetia Kellys Traveling Show and my

wanderlust burst into full bleeding bloom!

So guess what? I have created a world, in which we can through our imagination and the

help of my author friends, where we can indeed run away with the CIRCUS! Thats our

theme this year as in The Greatest BOOK Show on EARTH! I do believe I have outdone

myself on creating this years events to showcase our calvacade of author STARS! In

celebration of our 12th Anniversary, since my life is like a three ring circus, the theme this

year is: THE GREATEST BOOK SHOW ON EARTH!Because you see, it really is. The

Pulpwood Queensjuggle our schedule to meet each month for book club. Wefly with the

greatest ease through the reading of our books! And we become mesmerized watching all

our author speak of their amazing feats each year at our book club convention.

Get your ticket while they last!

12th ANNIVERSARY

GIRLFRIEND

WEEKEND

AUTHOREXTRAVAGANZA

The Greatest BOOK

Show on EARTH!

Jan. 12 15, 2012

Jefferson Tourism

and Transportation

Convention Center

305 E. Austin

Jefferson, Texas

75657

Beauty and the book is your one-stop-shop for

all things Southern and fabulous! Pulpwood

Queen and hairdresser extraordinaire receives

visitors from all over thecountry eager to get their

hair done, purchase some

books, and now choose

from the eclectic collection

of hand crafted jewelry

made by jewelry designer

Terry Evans. These beads,

bangles, and beyond are

one-of-a-kind and range

from simple and chic to

fabulous and fancy.

And if that is not enough, be sure to check out

the wide array of Pulpwood Queens labelHHproducts. Vibrant pink t-shirts, lip gloss,

lotion, soap, nail files, and more.

Beauty and the Book has-roughly 2,000 + titles to

choose from! Come browse!

Girlfriend Weekend 2012: The Greatest Show On Earth!

Have You Been to Beauty and the Book Lately?

PAGE 2 THE PULP VOLUME 1, ISSUE 5


3/8

2012 Girlfriend Weekend Key Note Speakers: Friday


Jenny Wingfield is atelevision and film

writer/author of "The Man and

the Moon" film fame starringReece Witherspoon. It was

filmed in Natchitoches, La.

Her firs novel is "The

Homecoming of Samuel Lake".

Born in Fountain Hill, AR, she

was a preacher's kid who grew

up "pretty much all over

Louisiana". She and her

family live in Texas with

rescued dogs, cats, and horses.

William Torgerson is

an assistant professor at

the Institute for Writing

Studies at St. JohnsUniversity in N.Y. His

adaptation ofLove on

the Big Screen was

awarded the grand prize

in the Flickers Rhode

Island International

Screenplay Competition.

He writes short stories

and articles about

teaching and writing.

Co-Hosts Kathy L.

Patrick & Robert

Leleux. Roberts essays

and articles have beenpublished in newspapers

and magazines through-

out the country. He

writes the Tex and the

City column for the

Texas Observer. His

books include Memoirs

of a Beautiful Boy and

The Living End to be

published in 2012.

Pulpwood Queen

Kathy Patrick is a

writer, reader, hair-

dresser, fearless book

club founder, and an

advocate for literacy

with a reach that is

now world-wide.

Owner of the only

book store-hair salon

in the country, Kathy

is an inspiration to all

of those who aspire to

see their books in

print. She has also

started a chapter of

Dolly Partons

Imagination Libraryin her hometown of

Jefferson, Texas. Her

shop Beauty and the

Book is an East Texas

literary Mecca She is

the author ofThe

Pulpwood Queens

Tiara Wearing, Book

Sharing Guide to Life.

2012 Girlfriend Weekend Key Note Speakers: SaturdayRobert Hicks is a music publisher, art collector,

preservationist, and New York Times best-selling

author of the novels Widow of the South andA

Separate Country, whichdocument the true

stories of the Battle of Franklin, TN during the

Civil War and the life of General John Bell Hood.

He is the founding chairman emeritus of

Franklins Charge: A Vision and Campaign for

the Preservation of Open Space in Williamson

Co., TN.

John Berendt is the best-selling author ofMidnight in the Garden of Good and Evil which

became a movie directed by Clint Eastwood. He

was a finalist for the 1995 Pulitzer Prize in

non-fiction He has since written The City of

Fallen Angels and his newest release, My Baby

Blue Jays, a childrens book with beautiful

photography documenting a nest of blue jays

that make their home on the third-floor balcony

of his New York home.

Deanne Gist has

worked in education,

run an accessory and

antique business,

was a freelance

journalist, and is now

a best selling author

of fun historical

romance that has

won her two

consecutive Christy

Awards and threeRITA nominations.

Her titles include

Maid to Match,

Beguiled, A Bride in

the Bargain, Deep in

the Heart of Trouble,

Courting Trouble,

The Measure of a

Lady, and The Bride

Most Begrudging.


4/8

The Greatest Book Show On Earth:Working Itenerary


LADIES AND GENTLEMEN, CHILDREN OF ALL AGES! WELCOME TO THE WONDERFUL WORLD

OF THE PULPWOOD QUEENS BOOK CLUB!

A book reviewer is usually a 'barker' before the door of a publisher's circus

The Pulpwood Queen V.I.P. Package

includes the following: V.I.P Band that

when shown on your wrist gets you into

ALL events including: Thursday Night

Author Dinner, Friday All Day Author

Panels, Friday One Woman Show with

TINA SLOAN!Friday Night PRETTY

IN PINK PROM PARTY, Saturday All

Day Panels, Saturday Author Luncheon

and Fashion Show, SaturdayNight GREAT BIG BALL OF-

HAIR BALL!, Official Pulpwood Queen

Girlfriend Weekend 2011 t-shirt

Pulpwood Queen SWAG Bag full of

publisher books, galleys, and giveaways!

January 11, 2012

WEDNESDAY

(requires a separate ticket)

10:00 a.m. - 4:00 p.m. HIGH SCHOOL

HORSE - Circus term for a horse who has

learned fancy steps as part of aperformance.

ROBERT LELEUX, editor ofLONNY

Magazine, TEX IN THE CITYcolumnist

for THE TEXAS OBSERVER, co-host of

GIRLFRIEND WEEKEND, author of

Memoir of a Beautiful Boy and now The

Living End will be conducting a MEMOIR

Workshop.

(All day event and separate $150 ticket for

Pulpwood Queen Book Club members, $250

for non-members that includes: All dayworkshop for beginners, a signed first

edition copy of The Living End , and

Luncheon). Tickets are limited so

purchase yours TODAY!

January 12th, 2012

THURSDAY

6:00 P.M. REGISTRATION BEGINS.

7:00 p.m. CLOWN ALLEY AUTHOR

DINNER Under THE BIG TOP!

We are definitely clowning around as our

AUTHORS will be opening our show as

your STAR performing WAITERS! Bring

on the CLOWNS!!!!

January 13 14, 2012

FRIDAY AND SATURDAY

All authors featured at their times will immediately go to AUTHOR AUTOGRAPH TABLES at our MIDWAY -

VENDOR/BOOK STORE ROOM following their panel! You will need to pre-purchase books prior to having the

books signed. As all authors are encouraged then to participate in all activities, feel free to ask for books to be

signed throughout the weekend. But do note, some authors will not be able to stay. To ensure you get your books

signed, go immediately to the AUTHOR AUTOGRAPH TABLES after they speak and have books already pre-

purchased. We will have a CONCESSION STAND in back of auditorium at BIG TOP/Convention Center to

purchase popcorn, peanuts, cotton candy, soft drinks. run by our CANDY BUTCHERS, the Junior and Senior High

First United Methodist Youth Group with all the proceeds to go to the kids to help pay for their NEW YouthBuilding.

Barnes and Noble will provide the BOOK STORE for all the author books for the event unless self-published, in

that case the author will provide the books themselves for sale. Barnes and Noble has also notified me CASH and

CREDIT CARD SALES ONLY. They will not be able to accept checks. Also we will have a SIDE TENT -VENDOR

ROOM, (open 8:00 a.m. 5:30 p.m.), Friday and Saturday that will feature the best of the best SHOWCASED for

our book loving attendees. We now are offering access to our MIDWAY -VENDOR ROOM and BOOK STORE too for

the general public. Tickets are $5.00 per person and available at the outside MIDWAY entrance to VENDOR

ROOM and BOOK STORE which will be marked GENERAL ADMISSION ONLY!


5/8

The Greatest Book Show On Earth: Schedule of Events


January 13, 2012

FRIDAY MORNING8:00 a.m. REGISTRATION

9:00 a.m. . SHE BREAKS IT, SHE SHAKESIT, SHE HANGS IT ON THE WALL! FORONE THIN DIME, STEP RIGHT UP.

Welcome to THE GREATEST BOOK SHOW ONEARTH! RINGMASTERS:KATHY L. PATRICK,founder of The Pulpwood Queens and Timber Guys

Book Clubs, Author ofThe Pulpwood QueensTiara Wearing, Book Sharing Guide to Life andROBERT LELEUX, Author ofThe Living End,columnist for The Texas Observer, editor ofLONNY Magazine are back to host yet again theirversion of BEAUTY AND THE BOOK, a televisionbook club talk show! Dubbed BOBKAT by theirfans, Robert and Kathy welcome you to their show!

9:15 a.m. 9:45 a.m. JACKPOTS-Circus termwhere Tall tales about life under the big top. Tocut up jackpots is to tell these stories. KEYNOTESPEAKER and Author, ROBERT LELEUX, willspeak of his latest book, The Living End: A FamilyMemoir of Forgetting and Forgiving!

BREAK FOR AUTOGRAPHING AND

VENDOR/BOOK STORE

10:00 a.m. 10:45 a.m. EVERYONE HAS ASTORY!MARYBETH WHELANofShe Makes ItLook Easy; SARAH JIO ofThe Bungalow andViolets of March;JUDY CHRISTIEofRally RoundGreen and Wreath; LISA WINGATE ofDandelionSummer

BREAK FOR AUTOGRAPHING ANDVENDOR/BOOK STORE

11:00 a.m. 11:45 a.m. Our almost andFIRST of MAYS - Circus term for rookie circusperformer who is trying to learn the ropes duringhis first season under the big top. The termoriginated years ago when many circuses began

their traveling schedule in early May.CARLASTEWART ofBroken Wings: A Novel; DONNA M.JOHNSON ofHoly Ghost Girl: A Memoir;ELEANOR BROWN ofThe Weird Sisters;REBECCA RASMUSSEN ofThe Bird Sisters


12:00 p.m. Noon LUNCH ON YOUR OWN(historic Jefferson, Texas has many fine eateries,many within walking distance)

FRIDAY AFTERNOON

1:30 p.m. 2:15 a.m. TEN TIMES BETTERTHAN CIRCUS POODLES!Keynote SpeakerJenny Wingfieldof The Homecoming of SamuelLake and the filmMan In the Moon.

BREAK FOR AUTOGRAPHING AND

VENDOR/BOOK STORE

2:30 p.m. 3:15 p.m. For our little LOTLICE - Circus term for the children of circusperformers and workers who grow up under the bigtop!. CAROLYN TURGEONofMermaid and TheNext Full Moon;JILL S. ALEXANDERofParadise; THERESE FOWLER ofExposure


3:30 p.m. 4:15 p.m. CIRCUS OF THESTARS!KAREN HARRINGTONofJaneology;KATHLEEN KASKA ofMurder at the Luther;MEG WAITE CLAYTONofThe Four Ms.Bradwells;SARAH BIRD ofThe Gap Years


4:30 p.m. SHE FLIES THROUGH THE AIRWITH THE GREATEST OF EASE! Author andSTAR of Guiding Light, TINA SLOANwill performher one-woman show, CHANGING SHOES, ofwhich her NEW book has the same name!

AUTOGRAPHING AND VENDOR/BOOKSTORE ROOM with closing remarks byKATHY L. PATRICK and ROBERT LELEUX!

FRIDAY EVENING

8:00 p.m. HERE COMES THE CIRCUS, THE

GREATEST SHOW IN TOWN!Author, WILLIAM J. TORGERSON, will be ourMASTER OF CEREMONIES, as he speaks of hisbook, Love on the Big Screen, to be followed by ourPRETTY IN PINKPROM PARTY! Comedressed in prom PINK attire and perhaps you willbe crowned our PULPWOOD QUEEN PROMQUEEN! A D.J. will be entertaining us with musicto dance from the 1980s! And remember girl-friends, 80s BIG HAIR RULED!!! As in theCIRCUS, no costume can be over the TOP!


6/8

The Greatest Book Show On Earth: Schedule, Continued...


January 14, 2012

SATURDAY MORNING8:00 a.m. REGISTRATION

9:00 a.m. THIS AINT NO DOG AND PONYSHOW! BOBKAT is back to host their BEAUTYAND THE BOOK author/talk show featuringKATHY L. PATRICKandROBERT LELEUX.

9:15 a.m. 9:45 a.m. New York Times Best-selling Author,JOHN BERENDTwill speak on islatest bookMy Baby Blue Jays and also is theauthor ofMidnight in the Garden of Good andEvil, and The City of Falling Angels!


10:00 a.m. 10:45 a.m. STORIES THATWILL TOUCH YOUR HEART!JAMIE FORD ofHotel on the Corner of Bitter andSweet;MICHAEL MORRISofA Place CalledWiregrass;NEIL WHITEofThe Sanctuary ofOutcasts;RIVER JORDANofPraying forStrangers


11:00 a.m. 11:45 a.m. PARADING THEBEST FROM MY HOMETOWN, THE GREATSTATE OF TEXAS, AND THE U.S.A!CHERYL MACLENNANofHistoric Homes of Jef-ferson, Texas;KATHRYN CASEYofThe KillingStorm (Sarah Armstrong Texas Rangers Series);LINDA BAUER ofCapitol Hills Cooks: Recipesfrom The White House, Congress, and All Of thePast Presidents;MARILYN & MICHAEL J.GILHULY, M.D. J.D. ofGunfight at Apache Bent(Texas Ranger Series)


Noon Luncheon A JUMBO

PRESENTATION!Author,ROBERT HICKSwill speak of his book,A

Separate Country, and the 150th Anniversary ofthe CIVIL WAR followed by an intimate look at aCIVIL WAR gown and all its accoutrementsfeaturing Author,DEEANNE GISTwho will arrivein her chemise and bloomers and get dressedlayer-by-layer from the inside out.

1:30 p.m. 2:15 p.m. THE PULPWOODQUEEN PRESENTS!ECHO GARRETTofMyOrange Duffel Bag;JENNIE HELDERMANofasthe sycamore grows;M. L. MALCOLMofHeart ofDeception;MARCIA FINEofPaper Children


2:30 p.m. 3:15 p.m. BOOKS TO SHARE(LIKE POPCORN) WITH YOUR BOOK-CLUBSCAROLINE LEAVITTofPictures of You;DONNA M. JOHNSONofHoly Ghost Girl;SHEILA WELLER ofGirls Like Us: Carole King,Joni Mitchell, Carly Simon --- and the Journey ofa Generation; VICTORIA ZACKHEIMofHe SaidWhat? Women Write About Moments WhenEverything Changed.

3:30 p.m.Break, as we know it gets crazytowards the end to rush out and get ready for the

ball. Its almost your last chance to buy books ifyou want to get them signed before the closingpanel and Awards Presentation! Dont miss thisopportunity to purchase the authors books whilethey are still at the convention center. Barnes andNoble Book Store will be open too after AwardsCeremony!

3:45 p.m. 4:15 P.M. STORIES THAT WILLLIFT YOUR SPIRIT LIKE A MARCHINGBAND!AD HUDLER ofMan of the House andSouthern Living;MAN MARTINofParadise DogsSHELLIE RUSHING TOMLINSONofSue EllensGirl Aint Fat, She Just Weighs Heavy; WADEROUSEofIts All Relative and Im Not the BiggestBitch in this Relationship!

LAST BREAK FOR AUTOGRAPHING/VENDOR/BOOK STORE

4:45 p.m. 5:15 p.m. THE BEST OF THEBIG TOP!Awards Presentation as follows:Pulpwood Queen Childrens Book of the YearPulpwood Queen Bonus Book of the YearPulpwood Queen Book of the YearKATHY L. PATRICKto present The KAT AwardSpecial Presentation: THE DOUG MARLETTEAWARD presented to an individual for the LifetimeAchievement of Promoting Literacy. Silent Auction

winners announced. Each author will be present topresent each winner of the highest bid their signedpersonal item.

5:15 p.m. Final remarks from your RING-MASTERS: KATHY L PATRICK ANDROBERT LELEUX as we conclude ourweekends THREE RING CIRCUSwith theAUTHORS!

MIDWAY- VENDOR/BOOK STORE ROOM Closesat 6:00 p.m.

SATURDAY EVENING

8:00 p.m. All CIRCUS PartyAttendees and Authors will beformally introduced this year asthey enter our GRAND FINALE,our GREAT BIG BALL OFHAIR (Circus themed)BALL! Come dressed as yourfavorite circus performer tocompete forBEST CIRCUSTHEMED GIRL GROUP, BESTCIRCUS THEMED TABLEDECORATING CONTEST, BESTINDIVIDUAL GIRL/BOY

CIRCUS THEMED COSTUMEFOR TIMBER GUY OF THEYEAR AND HAIR BALL QUEEN!

9:00 p.m. GREAT BIG BALLOF HAIR BALL featuring theWINDJAMMERS - Circusterm for musicians in the circusband/DESTINY DUKE ANDTHE HAZZARDS, back bypopular demand. A smorgasbordof circus inspired feast ofappetizers will be served and setups provided for B.Y.O.B.!

January 15, 2012SUNDAY MORNING

11:00 a.m. The PulpwoodQueens version of a TENTREVIVAL!Worship Services atthe First United MethodistChurch! Featured Speaker,,T.B.A. Wear your SundayCROWNS, that means hats!

THANK YOU LADIES andGENTLEMEN, we hope youenjoyed the Pulpwood QueensGREATEST BOOK SHOW ONEARTH! THE END


7/8

End of the Year, Winter Official Book Selections


September Main Selection:Dreams of Joy by Lisa See

Bonus Selections - Snow Flower and Secret Fan by Lisa See

The Dry Grass of August by Annajean Mayhew

Pictures of You by Caroline Leavitt

Splinters: Wrecker by Summer Wood

Pinecones: Madlinkas Music by Peter Sis

October Main Selection - The Coffins of Little Hope by Timothy Schaffert

Bonus Selections - The Bird Sisters by Rebecca Rasmussen

Storm by Christopher Cook (note e-reader only)

Splinters:A House of Pomegranates by Oscar Wilde

Pinecones: Moon Over Manifest by Clare Vanderpool

November Main Selection - The American Heiress: A Novel by Daisy Goodwin

Bonus Selection - The Buccaneers by Edith Wharton

The Four Ms. Bradwells by Meg Waite Clayton

Bent Road by Lori Roy

Splinters: Love on the Line by Deeanne Gist

Pinecones: Westlandia by Paul Fleishman

December Main Selection - Tolstoy and the Purple Chair: My Year of Magical Readingby Nina Sankovitch

Bonus Selection - So Many Books, So Little Time: A Year of Passionate Readingby Sara Nelson

Personal History of Rachel Dupree by Ann Weisgarber

The Weird Sisters by Eleanor Brown

Splinters: The Borrower by Rebecca Makkai

Pinecones: Man in the Moon by William Joyce

January 2012 Main Book Selection NEW:The Living End by Robert LeleuxJanuary Featured Backlist Selection:A Place Called Wiregrass by Michael Morris

Bonus Selection:Changing Shoes by Tina Sloan

Auntie Mame: an irreverent escape by Patrick Dennis

The Homecoming of Samuel Lake by Jenny Wingfield

Spinters: Exposure by Therese Fowler

Pinecones: My Baby Blue Jays by John Berendt


8/8

PAGE 8THE PULPVOLUME 1, ISSUE 5

Mail all forms and inquiries to:Kathy L. Patrick

Beauty and the Book608 N. Polk St.Jefferson, TX 75657(903) [email protected]

THE OFFICIAL PULPWOOD QUEENS NEWSLETTER

Find me onFacebook!

www.beautyandthebook.com

www.pulpwoodqueen.com

Become a Queen!

Become a Pulpwood Queen today! Call or email me tofind a or start a local chapter in your area! $25 one

time member fee. Includes official club t-shirt in hot

pink, lifetime membership,certificate, club card, and all

club benefits at specialevents.

Join Today!2012 Girlfriend Weekend Package ($150 members/$250 non-members)

Order total:

Total:

Item # Description Qty. Price Subtotal

Name

Address

Phone

American Express

MasterCard

Visa

Cash

Credit Card #

Signature

Method of Payment

Exp. date

Check

EUROPEAN TRIP REGISTRATION: Complete 1 form per traveler, email to [email protected] or fax (281-358-2311) or drop off

with a copy of your passport to Kingwood Travel Stately English Homes at ChristmasDecember 6-13, 2011

Name:_______________________________________________Birthdate:_________________

Street Address:_________________________________________________________________

City, State and Zip:______________________________________________________________

Home Phone:______________________________Cell:_________________________________

Email, please print:______________________________________________________________

Passport #:_____________________Date Issued:______________Date Expires;____________

Roommates name:______________________________________________________________

____No, I dont have one, I prefer a single room (Single supplement $555)

Charge my trip to the following credit cardPlease circle: AmExpress, MC, Visa, Discover

The deposit of $200 will be charged to your card & the balance on 9/30/2011, plus travel insurance, based on age: Up to 34 yrs--$98, 35-59 yrs--

$121, 60-69 yrs--$169, 70-79 yrs--$246,

Credit Card No.:_____________________________Exp. Date:_______CV2 code:__________

Name on the credit card:_________________________________________________________

In case of an emergency, contact:_______________________________________________________________________

Home phone:________________________________Cell:_______________________________

List any food allergies or special dietary needs:________________________________________

Frequent Flyer Number/s &Airline to use for trip______________________________________

The Pulp Newsletter

Designed by Carey Weeks

The Pulp September 2011

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