BYU Founders Club Dubai Trip Application

BYU Founders Club Dubai Trip Application | January 23-30, 2023

This application is for the BYU Founders trip to United Arab Emirates Dubai and Abu Dhabi. This deposit is non-refundable.
Please fill out the following form for all passengers.

(PLEASE NOTE THAT ALL TRANSACTIONS WILL COME WITH A 4% CREDIT CARD PROCESSING FEE PER PERSON)
$5,100 per person (Two people in a room)$5,100 + $2,200 per person (One person in a room)
Passenger #1
Full Passport Name*

First NameMiddle NameLast Name
Passport #*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Passport Upload*

Cancelof
Passenger #2
Full Passport Name

First NameMiddle NameLast Name
Passport #
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Passport Upload

Cancelof
Additional Information
Two TwinsOne Double
Please list any dietary or allergy restrictions.*
YesNo
Is there anything else we need to know?

Please select ONE Stripe deposit option for BYU Founders Dubai Trip | I will pay the non refundable deposit of $1,000.00 per person due at the time of registration.

(1 Person) Deposit Option for BYU Dubai Trip

$1,000 for one person [at $1,000 per person plus a 4% credit card fee]

$1,040.00

(2 Person) Deposit Option for BYU Dubai Trip

$2,000 for two people [at $1,000 per person plus a 4% credit card fee]

$2,080.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature
Should be Empty:

BYU Founders Club Dubai Trip Application | January 23-30, 2023

Please fill out the following form for all passengers.

Passenger #1

Passenger #2

Additional Information