CIS - Saint Oscar Romero 40th Anniversary Delegation - Solidarity and the Struggle for Social Justice in El Salvador Today! March 19 – 26, 2020
Application Form- e-mail to: delegations@cis-elsalvador.org
Payments made to LOS OLIVOS CIS/ PO BOX 76/Westmont, IL 60559Or
Online: http://www.cis-elsalvador.org/index.php/en/payments (menu-delegation fee)
CIS - Saint Oscar Romero 40th Anniversary Delegation
1. Name, as on passport: *
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2. Gender: *
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3. Passport Number and nationality *
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4. Passport Expiration date *
Please enter the product number
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5. Emergency contact name and phone number or best ways to contact (phone, email, whatsapp, messenger) *
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T-shirt size *
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6. Complete Mailing address:
7. E-mail Address: *
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8. Date of Birth: *
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9. Profession and/or area of study: *
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10. Housing: *
If you are coming as a group or have names of person you want to share a room with, let us know: *
Name of the person or church you are traveling with:
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11. Dietary restrictions: Please specify any dietary restrictions: (check all that apply) *
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12. Health or physical information or limitations we should know about, (if you take specific medicines and for what conditions; difficulties hiking or walking, other) *
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13. Any special visits or issues you would like to see include in this delegation (note this will be taken into consideration but not guaranteed when developing the program). *
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Questions and comments
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