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Get Personal Information Form Number Of Children

Children of Peace International copimission gmail.com Personal Information Sheet for Mission Trip Name EXACTLY as it appears on your passport Date of Birth Street Address City Home Phone Preferred name / Nick name State Cell Phone Zip Code Work Phone Email address Occupation Emergency Contacts please provide two Name Relationship Phone number Physician Name Physician phone number Health Conditions Blood type Current Medications Passport Number Country Allergies Dietary Restrictions Passport Expiration Date Place of issue/Authority From which airport will you depart Please select your T-shirt size highlight S M L XL XXL Email this form to copimission gmail.com. We use email to communicate with our team members. Please read your email often for announcements and instructions from your mission coordinator. Notice to applicants Please fill out all information as accurately completely and promptly as possible. Send your 500 deposit with this application* If you must cancel your trip after plane tickets are purchased allow 6 weeks for a refund. The refunded amount will be minus all penalties incurred* The airline will charge a 200 cancellation penalty. The spelling of your name on the airline ticket must match the spelling on your passport. It will cost an additional 200 to re-issue a ticket with the correct spelling of your name. If you apply for the March team Send form and deposit to Curtis and Raina Zeeh 2010 Tall Pines Way Sandy UT 84092 Send this form and deposit to binh rybacki 773 Johnson Ave Loveland CO 80537. Please read your email often for announcements and instructions from your mission coordinator. Notice to applicants Please fill out all information as accurately completely and promptly as possible. Send your 500 deposit with this application* If you must cancel your trip after plane tickets are purchased allow 6 weeks for a refund. Send your 500 deposit with this application* If you must cancel your trip after plane tickets are purchased allow 6 weeks for a refund. The refunded amount will be minus all penalties incurred* The airline will charge a 200 cancellation penalty. The refunded amount will be minus all penalties incurred* The airline will charge a 200 cancellation penalty. The spelling of your name on the airline ticket must match the spelling on your passport. It will cost an additional 200 to re-issue a ticket with the correct spelling of your name. The spelling of your name on the airline ticket must match the spelling on your passport. It will cost an additional 200 to re-issue a ticket with the correct spelling of your name. If you apply for the March team Send form and deposit to Curtis and Raina Zeeh 2010 Tall Pines Way Sandy UT 84092 Send this form and deposit to binh rybacki 773 Johnson Ave Loveland CO 80537. Please read your email often for announcements and instructions from your mission coordinator. Notice to applicants Please fill out all information as accurately completely and promptly as possible. Send your 500 deposit with this application* If you must cancel your trip after plane tickets are purchased allow 6 weeks for a refund. The refunded amount will be minus all penalties incurred* The airline will charge a 200 cancellation penalty.

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