NAME:
GENDER:  (Male or Female)
ADDRESS:
                                                                             REGISTRATION FORM
                               TEXAS HISTORICAL BLACK COLLEGE AND UNIVERSITY TOUR 2018
                                     
                  

TO MAKE A RESERVATION
1. Complete the form below, then press the "submit" button.     
2. A
$25 non-refundable registration fee plus a $50 deposit is required to hold a reservation.
3. The reservation is cancelled if
registration fee and deposit is not received within 10 business days of registration.
4. (See "Payment Information")
CITY/STATE/ZIP CODE:
SCHOOL:
GRADE:
WORK  PHONE:
CELL PHONE:
HOME PHONE:
GUARDIAN(S):
EMERGENCY CONTACT:
E-MAIL ADDRESS:
HOTEL ACCOMMODATIONS: Quad, Triple, or Double?
Who Referred You?
ROOMMATE REQUEST:  (List no more than three names)
I agree to the terms and conditions set
forth by Gibbs Travel.
Students who want to room together are advised to make
sure that each is requesting the same hotel
accommodations and makes the same request.  Students
with full payment  made on or before  April 1, 2017 are
given first priority. Each roommate must submit a
reservation form.
Student Signature
What is your intended major and
minor?  Are you interested in a sports
scholarship?  If so, what?
Parent Signature
CHOICE OF ROOMMATE(S) IS HIGHLY
CONSIDERED BUT NOT GUARANTEED
Texas HBCU 2018
MAKE CHECKS AND MONEY ORDERS PAYABLE
TO GIBBS TRAVEL SERVICES
P.O. BOX 300231
HOUSTON, TEXAS 77230-0231

Office:  2600 S. Loop West, Suite #292
Houston, Texas  77054

(Call to make an appointment)
Cost