Three Mile Island Creators Week Reservation Form

Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you an AMC Member? *

Yes

No

Would you like your own private cabin or to share with someone? *

Private

Share

Vegetarian meals *

We will be offering meat & vegetarian meals only. We are not able to accommodate special diet requests nor avoid cross-contamination. If you have specific needs you will need to bring your own food. Refrigerators are available for such situations.

Yes

No

Have you been to Three Mile Island before?

Yes

Planned payment method *

Information for both options are on the next page

Check (preferred)

Credit card