Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Please Complete this Form and Mail with Payment along with a copy of your Passport to the New York Address at the Bottom of the Form
*Passport must be valid for 6 months upon return*
Enclosed is my payment for the Pilgrimage to Cork and Ireland
BN: 60402
PASSENGER #1 NAME: _______________________________________________________________________________________________________________
P
Clearly print name as it appears on your passport: (Last, First, Middle)
Credit Card # _________________________________________________ Expiration Date: ____________ * Sec Code _______ Amount _____________
(We accept: Visa Mastercard American Express. We do not accept Discover.) (*3 or 4 digit number on back of Card)