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“Once in a lifetime opportunity, get to know other cultures, have fun activities, lifelong experience.”
International Trip for Students/Parents
APPLICATION FORM
Regular Application Deadline: Sep 18th, 2015
Early Bird Application Deadline: May 21st, 2015 ($100 Discount)
Deposit: $300 (non refundable)
Contact Person: Abdullah Ceylan (aceylan@harmonytx.org)
Itinerary: …………………………..
During:…………………………..
Name of Traveler (Passport):
Date of birth (mm/dd/yyyy): _____/_____/__________
Gender:
Country of Citizenship:
Home Phone:
Cell Phone:
E-mail:
Address:
City:
State:
Zip:
I want to participate to International Trip 2016.
Signature
Date
Please return this form with your application fee and copy of your passport’s first page (in which your photo appears)
to the person who is in charge of this trip in your school.
Make your checks payable to ……
Payment Plan Option (sample)
Passport and visa fees will be paid by traveller.