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-388620-41911Name:_____________________Phone:___________________________00Name:_____________________Phone:___________________________ Registration Form 2018 Synod Trip to Western DioceseCosts in addition to airfare ( ~ $250/person)Your down payment is for airfare and these additional in-country expenses:Overnight at July 5 at Outlook Lodge, Bonaero ParkApartheid Museum in Soweto Bus transportation from Johannesburg to Rustenburg (Diocesan Centre) and to each circuitReturn transportation from various circuits to Rustenburg and to airport1-2 overnight accommodations in RustenburgDue by January 31, 2018: 1. $500 down payment 2. Registration Form (this form) 3. Application (5 page application form)Plus if you choose: 50% down for safarifull payment for airfare if choose Chicago flight75 tickets are being held with varying departure points and costsAll departures are via Atlanta with a 17-hour flight from Atlanta to Johannesburg arriving at 5:35 PM on July 5th NOTE choose flights with your desired departure dates July 19 departure date provides time for a safari at Pilanesberg Game Reserve with arrival in Wisconsin on July 20Please check your preferences: Return departure on July 17th (arrival July 18 in Wisconsin)1st choice2nd choice3rd choiceCostDepartureJuly 4thdeparture dateSeats available$1,794 Appleton5:55 AMJuly 17 *10 seats$1,917Milwaukee2 PMJuly 17 *25 seatsReturn departure on July 19th (after safari with July 20 arrival in Wisconsin)25 seats1st choice2nd choice3rd choiceCostDepartureJuly 4thdeparture date$2,007MilwaukeeJuly 19 *$1,820MilwaukeeJuly 1920 seats$1,741Wausau9:55 AMJuly 1920 seatsFlight option from Chicago through Dubai: These are NOT group tickets. Price and availability is NOT guaranteed. This option requires full payment at registration. To arrange this contact Sue Stetzer (715-432-5942) or Pastor Rich Block (715-359-4500)$1,400 *Chicago8:30 PMJuly 19seats* price for Chicago option via Dubai may vary. Arrives at 5:30 AM July 6th AND requires full payment. * return is via Paris?Additional choices and feesSafari at Bakung Bush Lodge – 50% down payment due by January 31.(Safari includes 2 nights lodging with breakfast, dinner and two game drives per day) ____ $200 for double occupancy (this is for the 50% down payment; ~$350 total)____ $250 for single occupancy (this is for the 50% down payment; ~$420 total)Flight option – from Chicago through Dubai ____ full payment of ~$1,400 Subject to availability. Contact Sue Stetzer at 715-432-5942 or Pastor Rich Block at 715-359-4500 if you are interested in this option. Travel Insurance - this is an additional cost added to your airfare charge (NOT due with registration)___ yes, please add to my airfare: $93 if your ticket price is under $1,500$115 if your ticket price is $1500-$1,999$145 if your ticket price is $2,000-$2,499___ no, I do not want Travel Insurance*******************************************************************************************Other Considerations: International Health Insurance: We request that people going on the trip will contact their own health insurance carrier. We expect that each person going will look into his or her options for international travel.Health Immunizations: We are requesting that each group of individual contact their personal medical staff since they will want to know that you are traveling. These medical staff will also know the local medical resources for determining which shots you will need for this trip based upon where in the Western Diocese you will be traveling.Passport: Please make sure that your passport is up to date and will not be expiring within six months of the departure time (July 5). If you do not have a passport or it will be expiring, contact the Post Office or Library in your area for information on how to obtain a passport.Summary of Costs Costs besides airfare?????? $?? 250 $ 250Airfare????????????????????????????????? $1,394 $2,007 (from the lowest to the highest)Subtotal ????????????????????????????? $1,644 $2,257?Plus Safari?????????????????????????? $?? 350 ?$?? 420 (based on double or single occupancy)Total ???????????????????????????????????? $1,994 $2,677 (In addition, you will need to add in personal spending money in South Africa and money spent in preparation for the trip – health shots, souvenirs, personal items, etc.)Mail this completed Registration Form with your Application to:Registrar – Nancy SalzwedelEast Central Synod of Wisconsin 16 Tri-Park WayAppleton, WI 54914Or scan and email to: nancy.salzwedel@Questions – phone: (920) 734-5381 ................
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