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American Educational Opportunities
PO Box 279, Analomink, PA 18320-0279 Tel: 570-620 9555, Fax: 570-620 2470 Email: aeousbob@ptd.net, aeotour@yahoo.com -------------------------------------------------------------------------------------------------------------
REGISTRATION FORM
Fall Tour A ___ Fall Tour B ___ Participation in Exhibitions only: Singapore: ____ Jakarta: ___ Kuala Lumpur: ___ Bangkok: ___ Option to Vietnam: Yes___
NAME (as in passport): ___________________________________________
US PASSPORT HOLDER: YES___ NO___ (If no, please state ____________)
EXPIRATION DATE OF PASSPORT: _____________________________________
JOB TITLE: __________________________________________________________
NAME OF COLLEGE :________________________________________________
FULL ADDRESS : _______________________________________________
_______________________________________________
OFFICE TEL : _________________________ FAX: ______________________
EMAIL:___________________________________________________________
Deadline for receipt of this registration form : July 5th, 2009
Selection for the tour will be based upon date of application and diversity of colleges. Upon receipt of this application, an invoice will be sent.
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