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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1-Day Experience - Individual Registration Fee
1-Day Cultural Encounter Experience - Individual Fee
$
50.00
3-Day Experience - Group Reservation Fee
This is a RESERVATION fee in order to book a 3-Day Cultural Encounter Experience. The price per individual is $250. For groups of 8-30.
$
300.00
5-Day Experience - Group Reservation Fee
This is a RESERVATION fee in order to book a 5-Day Cultural Encounter Experience. The price per individual is $450. For groups of 8-30.
$
750.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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