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| PLEASE PRINT AND RETURN THE FOLLOWING REGISTRATION FORM WITH YOUR DEPOSIT.
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| Please contact Compassion with any questions. |
I've included my -per-person nonrefundable deposit for the Dominican Republic Sponsor Tour 2011 made
payable to Compassion International.
Ive read and understand the Tours Conditions Agreement.
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 Contact Information: |
| Name: |
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| Birthdate: |
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| Address: |
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| City/State/Zip: |
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| Home Phone: |
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| Work Phone: |
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| E-Mail: |
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| Sponsored Child's Name: |
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| Sponsored Child's Number: |
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 Passport Information: |
| You do not need to have a passport to register but passport information will be due by the final payment deadline. |
| Passport Number: |
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| Name on Passport: |
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| Expiration Date of Passport: |
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 Tour Companion Information: |
| Name: |
 |
| Birthdate: |
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| Relationship: |
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| Home Phone: |
 |
| Work Phone: |
 |
| E-Mail: |
 |
 Companion Passport Information: |
| You do not need to have a passport in order to register, but passport information will be due by final payment deadline. |
| Passport Number: |
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| Name on Passport: |
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| Expiration Date of Passport: |
 |
 Additional Information: |
I would like a single room.
I am enclosing an additional $ for the supplemental charge. |
I would like twin-room occupancy; my roommate's name is
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I would like twin-room occupancy; please choose my roommate. |
| I prefer nonsmoking / smoking (please circle) for my roommate. |
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| RETURN TO:
Compassion International, Dominican Republic Sponsor Tour 2011, 12290 Voyager Parkway, Colorado Springs, CO 80997
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