Architectural Tour/Wine Tasting mail in order form

<%@ Language=JavaScript %> Architectural Tour/Wine Tasting mail in order form

Fax to:
707-884-1018
(Gualala Country Inn)

Or send by mail to:
S.I.M.S.C., Inc.
P.O. Box 1064
Gualala, CA 95445

Or call for more information:
Linda Bradbrook, Gualala Country Inn
707-884-4343

Personal Information (Please print clearly)
Name:
Billing Address:
Street Address:
City:
State:		Zip Code:
Daytime Phone:
Fax:
Email:
Credit Card Type:	MasterCard Visa
Credit Card #:		Expiration:
Signature:

Delivery Information
Please MAIL my tickets to the above address
I would like to PICK-UP my tickets at the Sea Ranch Lodge
I would like to PICK-UP my tickets at the Gualala Country Inn in Gualala