2025 Order Form - Harmony Adventures Travel

Harmony Adventures Inc
2116 N Causeway Boulevard
Metairie LA 70001-2815

Voice - (504) 836-6070
Fax - 504-837-0708
Email -
Open Monday - Friday 9:00am - 4:00pm CST

Instructions: * denotes required fields.

If the room type you selected is not available you will be notified prior to payment being processed.

REGISTRANT NAME AND HOME MAILING INFORMATION
Title *
Name *
Address *
City *
State/Providence *
Zip Code/Postal Code *
CONTACT INFORMATION
Cell Phone *
Work Phone
Fax
Email *
Work Email
Would you like to receive future travel promotions?

CONFERENCE BADGE
Name *
Company *
City & State *
Credentials (select all that apply)	LP CP CCP PBMT BS MS PhD MD RN BSN RRT PA-C MLT Other

CONFERENCE FEES
Classification	Rate	X	Quantity	=	Total
Early Bird - by 10/31	599.00	X		=
Pre-Registration - by 11/22	649.00	X		=
Late or On Site - aft 11/22	699.00	X		=
Student Registration	99.00	X		=
Webinar	599.00	X		=
Speaker	Waived	X		=
Sponsor / Vendor / Exhibitor Yes No

Conference Fees Sub Total

DO YOU NEED A ROOM?Yes No

Where Will You Be Staying *

Why Are You Staying There *

* WPPC will assess $100.00 fee to those individuals who choose NOT to book within our contracted room block.

Vintage
Hotel Room	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	156.00	X			X		=
By 11/22	169.00	X			X		=
Studio	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	180.00	X			X		=
By 11/22	195.00	X			X		=
Deluxe Studio	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	210.00	X			X		=
By 11/22	228.00	X			X		=
Studio Loft	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	210.00	X			X		=
By 11/22	228.00	X			X		=
1 Bedroom	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	246.00	X			X		=
By 11/22	267.00	X			X		=
2 Bedroom	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	342.00	X			X		=
By 11/22	371.00	X			X		=
Fraser Crossing / Founders Point
Studio - S	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	228.00	X			X		=
By 11/22	247.00	X			X		=
Studio - G	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	270.00	X			X		=
By 11/22	293.00	X			X		=
1 BD eff - S	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	258.00	X			X		=
By 11/22	280.00	X			X		=
Zephyr
1 BD -S	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	294.00	X			X		=
By 11/22	319.00	X			X		=
2 BD -S	Rate	X	# Nights	Subtotal	X	20% Tax	=	Total
By 10/31	396.00	X			X		=
By 11/22	429.00	X			X		=
Lodging Sub Total

Lodging Notes:

DO YOU NEED SHUTTLE? Yes No

We must have flight information to confirm ground transportation. Please provide as soon as possible. Please insert information below
Arrival to Denver
From (city)	Date of Flight	Airline	Flight #	Arrival Time to Denver

Departure from Denver
To (city)	Date of Flight	Airline	Flight #	Departure Time from Denver

Ground Shuttle Notes:

DO YOU NEED LIFT? Yes No

Delivery: (If arriving prior to January 12th, tickets must be mailed.)
Ski Begin Date: *
Please list each person's name, age and start date: *
Adult	Rate	X	Quantity	=	Total
1 Day	$134.00	X		=
2 Day	$261.00	X		=
3 Day	$367.00	X		=
4 Day	$478.00	X		=
5 Day	$578.00	X		=
6 Day	$666.00	X		=
7 Day	$772.00	X		=
Child (5 - 12)	Rate	X	Quantity	=	Total
1 Day	$84.00	X		=
2 Day	$161.00	X		=
3 Day	$234.00	X		=
4 Day	$295.00	X		=
5 Day	$356.00	X		=
6 Day	$417.00	X		=
7 Day	$467.00	X		=
Student (13 - 22)	Rate	X	Quantity	=	Total
1 Day	$117.00	X		=
2 Day	$228.00	X		=
3 Day	$317.00	X		=
4 Day	$411.00	X		=
5 Day	$494.00	X		=
6 Day	$567.00	X		=
7 Day	$622.00	X		=
Lift Tickets Sub Total

Lift Tickets Notes:

Pick-up Lift Tickets or Add $15.50 for shipping and handling charges if maled to HOME address. Signature required at time of delivery.

ORDER SUMMARY
Conference Fees
Shuttle
Lodging
Lift
Mailing
Harmony Fee
Late Fee
Special Requests
Please note you will receive a confirmation email with your totals and a payment form to submit for processing. If you need a separate receipt for any portion, please submit separate payment forms. Insurance Optional - must be purchased separately by visiting Travel Insurance section on the homepage. Payment Information Please fill out the Credit Card Authorization Form and fax to 504-837-0708 for processing. You will be emailed a recepit of your payment. * ADDITIONAL REQUESTS OR CHANGES AFTER PAYMENT HAS BEEN RECEIVED WILL INCUR A $25.00 FEE.
GRAND TOTAL