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GHANA - SECURE MY SPOT
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REGISTRATION FORM
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Traveler Registration Form

Please complete, sign and submit this form along with your $500.00 deposit to reserve your spot.

First name Middle Intital*

Last name

Email*

Phone

Birthday

Passport Number

Address*

including Zip Code

Preferred Trip Option*

December 5 - December 14, 2024

May 15 - May 24, 2025

August 21 - August 30, 2025

December 4 - December 13, 2025

Personalized

Room Occupancy*

I have a roommate, Double Occupancy. $5,999 per person.

I would like to be paired with another participant, $5,999.

I would like Single Occupancy, $6,499.

Name of Roommate (if applicable)

Emergency Contact*

Name and Phone Number

TOUR RATE.jpg

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