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Operation Wallacea Peru 2018
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Heading home to the Amazonia Rios from wading bird survey
Parent Name
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Parent email
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Your answer
Student Name (as it appears on their passport)
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Your answer
Student date of birth (MM/DD/YYYY)
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Your answer
First payment will be due September 1st, for $900
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If using a credit card, charge the deposit only, bill the rest of the payments
If using a credit card, charge deposit and set up monthly payments using this card (Expect $300 per month if paying on a monthly basis)
I will set up a monthly credit card payment after my account is set up by Operation Wallacea,
I plan on paying as payments come due (Sept, Dec, Feb, April)
Name on the credit card being used
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Card Number
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Card expiration date
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Security Code (3 digits on back of card)
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Billing Zip Code
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Amount to be charged ($250 deposit due)
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