PCHS February 2020 Pacific NW College Trip

PCHS Pacific NW College Trip (February 2020)
Full Name of Registrant:*

First NameLast Name
E-mail:*
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
Grade in High School (at time of trip):*
Parent(s) Name(s):*
Parent(s) Home Number(s):
Parent(s) Cell/Work Number(s):
Parent(s) Email:*
PAYMENT INFORMATION: This form will re-direct you to PayPal for payment.
Payment Method:
Please note that if you re-direct to pay with PayPal, but don't complete the transaction, your registration will be considered "pending." In that case, please email us to let us know if you would prefer to pay by check. Thank you.
I understand that deposits are non-refundable, unless the trip is cancelled. Balance payments ARE refundable, with advanced notice, as described in the contract.*
Payment Plan Options Below. IF POSSIBLE, WE PREFER PAYMENTS BY CHECK, BUT CREDIT CARD PAYMENTS ARE ALSO ACCEPTED. You may opt to make more than one payment at a time, or some payments by check and some by credit card.

NOTE: Pricing is based on four students per hotel room with two queen sized beds. Students can be guaranteed their own bed, if requested, for an additional $75 per night of the trip.
Select Options:
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Program Fee (one-time payment of full amount) ... $1,595.00

or ... First Payment (Deposit)$295.00

Second Payment$500.00

Third Payment $450.00

Final Payment $350.00

Single Bed Supplement $75/night x 3 nights for one student to be guaranteed his/her own bed each night$225.00

Returned Check Fee (if applicable)$35.00

Total $0.00
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PCHS Pacific NW College Trip (February 2020)

PAYMENT INFORMATION: This form will re-direct you to PayPal for payment.

Please note that if you re-direct to pay with PayPal, but don't complete the transaction, your registration will be considered "pending." In that case, please email us to let us know if you would prefer to pay by check. Thank you.

Payment Plan Options Below. IF POSSIBLE, WE PREFER PAYMENTS BY CHECK, BUT CREDIT CARD PAYMENTS ARE ALSO ACCEPTED. You may opt to make more than one payment at a time, or some payments by check and some by credit card.