Trip Application Form

Information page for Nov 09 PI/China Trip               One person per form please

Name _________________________________________________________________________________________

Address_______________________________________________________________________________________

Home Phone _________________________________ Cell ___________________________________________

e mail__________________________________________  POW# self or relative  ______________________________

Do you need a wheelchair? _________  If yes, will you have someone with you to help push it?

Your trip options are:

__ Part 1 - PI  Oct 17 – 26   $1820 to $4381 depending on air fare. And number of people in room.

__ Part 2A -  Oct 26-31 Additional time in PI  Price depends on activities.

__ Part 2B  -Oct 27 - 31 Mukdem POW Camp in Shenyang China $675. Airfare, hotel, & most food

__ Part 3 – Oct. 31  -  Nov 4. Beijing

__ Part 4 – Nov 11 South of China  $1450 for  double occupancy

                                                                                                   Total ____________________________________

Absolute registration deadline is Aug 1.  The earlier the better.

Refund of some unencumbered funds if plans change.  No on plane tickets, yes on some hotel and entrance charges.

***Please enclose a copy of the front page (the one with your picture on it) of your passport. There is a lot of info on it that is needed to book flights, etc in China.

***Also, please enclose a small photo of yourself.

If you prefer sending electronic copies for photos and forms, e mail that to: patwangnc@yahoo.com

***  If you would rather send paper forms or photos, send to:

Pat Wang
4289 Perna Lane
Iron Station, NC 28080-9560
704-264-9877 

 You also need a travel Visa:  China Travel Visa Application

                                                      Home               e-mail us at:  info@mukdenpows.org