Wreaths Across America 2024 - Pay by Credit Card

Dodge Wreaths Across America Project December 11-14, 2024

All reservations must be received on/by Friday, November 1, 2024
SECURITY CLEARANCE: The information we're requesting is required for admission to many of the facilities we will be visiting.

Please remember to have a government-issued photo ID or passport with you.
Name (as it appears on your driver's license)*

PrefixFirst NameMiddle NameLast NameSuffix
FD/Embalmers/Academy License # & State:*
Driver's License # & State:*
Date of Birth*

MonthDayYear
Place of Birth*
Cell Phone Number*
Email*
Firm*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Registration - Add additional attendees on next page

Registration Options - Please click the box (even if only one registrant) and choose the total quantity of registrants: *

Adult (Over 12 years)Our 3-day registration includes: ground transportation, venue/event fees, tickets, lunch on Thursday and Friday, and gratuities, etc.

$660.00 Quantity
Item subtotal:$0.00

Child (12 years and under)Our 3-day registration includes: ground transportation, venue/event fees, tickets, lunch on Thursday and Friday, and gratuities, etc.

$350.00 Quantity

OPTIONAL - Gettysburg (Adult - Over 12 years)Optional Add-on for those interested in visiting the Gettysburg National Military Park Museum and Visitors Center, the Gettysburg Battlefield, the National Museum of Civil War Medicine in Frederick, Maryland, and Joseph Gawler’s Sons Funeral Home, Washington, D.C. on Wednesday, December 11, 2024, and is priced separately. Lunch and dinner are included.

$296.00 Quantity

OPTIONAL - Gettysburg (Child - 12 years and under)Optional Add-on for those interested in visiting the Gettysburg National Military Park Museum and Visitors Center, the Gettysburg Battlefield, the National Museum of Civil War Medicine in Frederick, Maryland, and Joseph Gawler’s Sons Funeral Home, Washington, D.C. on Wednesday, December 11, 2024, and is priced separately. Lunch and dinner are included.

$200.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Notes:
ARRIVAL: I/we will be arriving after 5:00 p.m. Wednesday evening, December 11, 2024DEPARTURE: I/we will be departing Saturday, December 14, 2024 prior to the concert at Constitution Hall
Ticketed events are refundable through November 27, 2024 less a $100.00 cancellation fee. Cancellations made after November 27, 2024 will not be refunded. Cancellations must be made in writing via mail, fax or e-mail to Sally Belanger.

Fax: 207-514-8400 | email: sbelanger@dodgeco.com | 38 Young Avenue, Brunswick, ME 04011

Dodge Wreaths Across America Project December 11-14, 2024

SECURITY CLEARANCE: The information we're requesting is required for admission to many of the facilities we will be visiting.

Registration - Add additional attendees on next page

Ticketed events are refundable through November 27, 2024 less a $100.00 cancellation fee. Cancellations made after November 27, 2024 will not be refunded. Cancellations must be made in writing via mail, fax or e-mail to Sally Belanger.

Additional Attendees

If you need to register additional people or have any questions regarding Wreaths Across America, please contact Sally Belanger @ sbelanger@dodgeco.com or 207-841-6330.