GECA Group California College Trip (April 2018)

GECA Group California College Trip (April 2018)
Full Name of Registrant:*

First NameLast Name
Gender:*
E-mail:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
Grade in High School (at time of trip):*
Parent(s) Name(s):
Parent(s) Home Number(s):
Parent(s) Cell/Work Number(s):
Parent(s) Email:
PAYMENT INFORMATION: This form will re-direct you to PayPal for payment.
Payment Method:
Please note that if you re-direct to pay with PayPal, but don't complete the transaction, your registration will be considered "pending." In that case, please email us to let us know if you would prefer to pay by check. Thank you.
I understand that deposits are non-refundable, unless the trip is cancelled. Balance payments ARE refundable, with advanced notice, as described in the contract.*
Payment Plan Options Below. IF POSSIBLE, WE PREFER PAYMENTS BY CHECK, BUT CREDIT CARD PAYMENTS ARE ALSO ACCEPTED. You may opt to make more than one payment at a time, or some payments by check and some by credit card. Rooms: In order to keep the cost of the trip as low as possible, students are assigned 4 to a room with 2 beds. For a supplement of $75 per night, participants can be guaranteed their own bed.
Select Options:
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Program Fee (one-time payment of full amount)$975.00

Trip Deposit$375.00

October 2017 Payment $100.00

November 2017 Payment$100.00

December 2017 Payment$100.00

January 2018 Payment$100.00

February 2018 Payment$100.00

March 2018 Final Payment$100.00

Single Bed Supplement $75/night x 3 nights for one student to be guaranteed his/her own bed each night$225.00

Single Bed Supplement $100/night x 3 nights for a student and his/her parent to share room with 2 beds$300.00

Returned Check Fee (if applicable)$35.00

Total $0.00
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GECA Group California College Trip (April 2018)

PAYMENT INFORMATION: This form will re-direct you to PayPal for payment.

Please note that if you re-direct to pay with PayPal, but don't complete the transaction, your registration will be considered "pending." In that case, please email us to let us know if you would prefer to pay by check. Thank you.