Group Request Application

Group Request Application
Group Name*
Group Description*
Website*
How Did You Learn of our Short Term Trips?*
Street Address*
Your Full Street Address
Apt, Suite, etc.*
City*
State/Providence*
Zip/Postal Code*
Country*
Purpose/Goals for the Trip*
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone*
Please enter a valid phone number.
Number in the Group*
Arrival Date*
Departure Date*
Lodging*

Standard HotelPremium Lodging
Spanish Speakers*
Indicate how many Spanish speakers you have in your group
Ministries - Select Areas of Interest*

Baseball/Sports MinistriesChildren's MinistriesConstructionTract Distribution
Trip Options*

Tour Santo DomingoPizza NightSnorkling
Agreement: In the following correspondence, you will be sent a contract which will provide you the per person trip price and the DR team leader's approval of the dates you have chosen. This form will temporarily reserve your dates, but will not confirm your trip until a deposit is made to Daystar Baptist Missions, Inc. (DBMI). Please remember that a significant variation to your group number may alter your per person price.*

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