Cultural Encounter Experience Registration Form
REQUEST TO SCHEDULE A CULTURAL ENCOUNTER EXPERIENCE!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Registration Type
*
Individual
Couple
Family
Church
Church Team/Group
School
Organization
How many do you expect will join you?
Name of your church/school/organization
Location of your church/school/organization
City and State
Do you have a specific date in mind to request or are you flexible?
*
I have a specific date in mind
I am flexible
Which day would you like to request for a tour?
-
Month
-
Day
Year
Date
What time frame would work best for you?
Any other questions for us?
Select the registration type and pay your registration fee.
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Group Reservation Fee
Cultural Encounter Experience - This fee is just to hold a spot. Since group sizes and needs vary, cost will be determined on a individual group basis.
$
100.00
Participants
Item subtotal:
$
0.00
Individual Registration Fee
Cultural Encounter Experience - Individual Fee
$
35.00
Family Registration Fee
Cultural Encounter Experience - Family Fee (up to 5 people)
$
125.00
Couple Registration Fee
Cultural Encounter Experience - Couples Fee
$
75.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: