FC01-PANTEPUI-ROR - Field Herpetology in the Lost World

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July 2-August 13, 2020 (rainy season, dates to be confirmed)
Cost of the course is: 3,799 euros from Boa Vista to Boa Vista (Brazil)
Contact: Dr Philippe J. R. Kok (pjrkok@gmail.com)

After completion of the form you will receive an email explaining how to transfer a deposit of 500 euros (not refundable, unless the course is cancelled)

Last Name *

First Name *

Email Address *

Street Address *

City *

Zip Code *

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Phone number *

Occupation *

Educational background *

Emergency Contact (email + phone number) *

Preferred Course length *

4 weeks

6 weeks

Diet Preference *

None

Vegan

Vegetarian

Other:

Allergies (food and other) *

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Please briefly explain the reason(s) for wishing to follow this course *

Share my email with other course participants *

Yes

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