Ghana 2024 & 2025
Registration & Deposit (Payments are non-refundable)
Full Name of Lead Traveler
*
First Name
Last Name
DOB
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Person, address & phone number
*
List mobility needs and/or medical concerns we need to be aware of
*
Are you over 21.
*
T Shirt Size
*
Select Option
*
Ghana 2024
Ghana 2025
Room Option
*
Single
Double
Roommate Name
*
If rooming in a single room, enter NA
Ghana 2024 or 2025?
*
Deposit Ghana 2024 $1500.00 (Non-Refundable)
Deposit Ghana 2025 $1500.00 (Non-Refundable)
My Products
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Ghana 2024 Deposit
$
1,500.00
Experience Ghana 2024
Ghana 2025
$
1,500.00
Experience Ghana 2025
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Pay with PayPal
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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