Application for the 2009 Guatemala Quaker Tour

Print this page, complete the application and mail with your $200 deposit to
Lester Lacelle
Attn: Guatemala Study Tour
29770 Sherwood Rd.
Willits, CA 95490

We need your application and deposit by December 31 2008

Name(s)

Address

Home phone

Work phone

FAX

e-mail

Preferred roommate

Emergency contact

Relationship to you

Your age

Any health problems?

Special dietary needs

Other needs

Do you have any questions? Please contact us.
Loren Lacelle at progresar@hughes.net or lacelle@conexion.com.gt Phone/Fax: 011-502-7849-5970 in Guatemala
Martha Dugan at mardugan@earthlink.net Phone: 011-502-7832-5653 in Guatemala
Mary Thompson at marydee2@cox.net Phone/fax: 805-965-9995 in CA