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MARCH BREAK SIGN-UP SHEET
CHICAGO USA 11-15 MARCH 2019

THIS IS A SIGN-UP SHEET TO EXPRESS YOUR INTEREST IN ATTENDING THIS TRIP

PLEASE NOTE THAT YOU WILL NOT BE CONSIDERED FOR THIS TRIP IF YOU HAVE NOT:

1. SOLD ONE LOTTERY BOOK
2. PAID THE ANNUAL CADET ASSESSMENT FEE OF $60.00

SELECTIONS WILL BE ANNOUNCED IN THE NEW YEAR

Email address *
Rank *
Last Name *
Your answer
First Name *
ONLY YOUR FULL LEGAL NAME WILL BE ACCEPTED. ENTRIES THAT CONTAIN ONLY YOUR FIRST INITIAL WILL NOT BE CONSIDERED
Your answer
What flight are you in? *
Do you have a valid passport? *
YOU MUST HAVE A VALID PASSPORT TO TRAVEL TO THE UNITED STATES THAT DOES NOT EXPIRE WITHIN 6 MONTHS OF THE TRAVEL DATES.
What is the nationality of of your passport *
Ex "Canada" "China" "Russia"
Your answer
Do you require a visa to travel to the United States? *
If you answer YES then please contact CI Levy [levy@180mosquito]
Phone Number ( XXX ) XXX - XXXX *
This is the number that you can be reached at for any questions/follow-ups RE this trip
Your answer
Email Address *
This is the email address that you can be reached at for any questions/follow-ups RE this trip
Your answer
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