|
DUPUISTOURS
|
|
|
|
|
APPLICATION FORM
......
To apply for an Frenchtours
program, please print and complete this Application Form and answer all
questions clearly. Enclose $50 with your application. This is a
non-refundable processing, mailing fee ( will be
credited towards Program fees ).
Mail to: DUPUISTOURS
PO Box 1 THOONA .Vic 3726 Australia.
|
TOURS, Program One _(Y)(N) Program Two_(Y)(N) Cultural Exchange_(Y)(N)
Minimum AU$500 Deposit.
First Name________________________ Last Name _______________________________
Male ____ Female ____ Date of Birth _______/________/_______
Day Month Year
Address ____________________________________________________________________
Number Street
____________________________________________________________________
City State Postcode
_________________________________ Telephone ______ _________________
Country
Mobile ___________________________ Email ______________________________
: Name _______________________________________________________________
: Name _______________________________________________________________
Occupation ____________________________ Business Phone _____________________
Where did you learn about FRENCHTOURS.? ____________________________________
Applicant's Signature __________________________________ Date ______________
Parent/Guardian's Signature ____________________________ Date ______________