Mac GAPP 2006
Departure:
May
29, 2006
Return: June 23, 2006
Payment of $200.00
due on or before September 1, 2005
Legal Name of the Traveler (to be on Passport)
____________________________________________________________
Address ____________________________________________________
City ____________________ State _________________
Zip _________
Telephone
Numbers (Home)_____________(Business)______________(Cell)____________
Student email address ______________________________
Parent
email address _________________________________
My
first $200.00 payment pays for my air and land reservations. ____________________Date
of payment
The
Payment schedule will be for $200.00 on Sept. 1, Oct. 1, Nov. 1, Dec, 1, Jan.
1, Feb. 1 and March 1. We are setting the price at $2000.00 maximum. If it
is less, you will have more spending money.
If
possible, I would like to have ___________________________________
as
my roommate on our week long trip.
(Person’s name)
Airline
Frequent Flyer Number ______________________________
_______
Please send me travel and trip cancellation insurance information.
_______________________________Signature
of Participant
(If
under 18, parent must also sign.)
__________________________________Signature
of Parent/Guardian
Make
checks payable to: Mac GAPP