December 2019 Journey Back Application
Please register for the once-in-a-lifetime opportunity as soon as possible.

What: REAP International Vietnam Tour/Missions Trip
When: December 5 - 12, 2019
Where: We will be visiting Saigon, Da Nang, and more. On this trip you will go to see our new K-12 Christian School, take part in a Global REAP graduation ceremony, and tour historical sites.

The cost of the trip is $2,499.00. This price includes your international flight from Dallas/Fort Worth (DFW), VISA, hotel accommodations, meals, and local transportation while in country.

Deposit Requirements: $1,000.00 and a color copy of your passport, photo/signature page by September 30, 2019. The passport must be valid for 6 months following the trip. Final payment will be due by October 18, 2018.00.

For more information or to reserve your spot contact Rupert Harrell at 817-235-4496 or rupertharrellministries9@gmail.com.



Personal Information
Legal First Name-as it appears on your passport *
Your answer
Middle Name -as it appears on your passport (if not applicable-add NA) *
Your answer
Last First Name-as it appears on your passport *
Your answer
Email *
Your answer
Cell Phone Number (example: 1-201-555-5555) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
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Zip Code *
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County *
Your answer
Date of Birth (month, day, year) *
Your answer
Gender *
Citizenship *
Your answer
Current Occupation/Profession *
Your answer
Physical Restrictions *
Please provide any physical restrictions/disabilities that will require special travel assistance (add N/A if not applicable)
Your answer
Faith and Rules of Conduct
Are you a Christian *
Do you agree to attend all morning chapels and other activities? *
Will you abide by our rules of conduct which includes a curfew and no alcohol? *
Travel/Booking Information
Please provide information needed to obtain round-trip flights from DFW to Siagon
Passport Number *
Your answer
Issuing Authority/Place of Issue *
Your answer
Date of Expiry (month, day, year) *
Your answer
EVA Frequent Flyer Number *
Your answer
Have you traveled to Vietnam previously? *
If yes, please provide date and purpose of your trip below *
Your answer
Hotel roommate requested (if possible) *
Your answer
Travel/Booking Information from your home city
Please provide travel information for round-trip travel from your home city to Houston. If not applicable select No or NA)
Do you need flights from your home city *
Airport Name, City, State and Abbreviation *
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Electronic Signature *
By typing your name below, you are stating that all the information you provided is true.
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