Trip Application Form

Information page for October 08 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:

tickets bought from Lee as far in advance as possible  - use the dates below

___ Leave the US on October 15. Arrive Oct 16

___ Fly to Shenyang fr­om Beijing October 16 -$160

___ Time in Shenyang October 16 -21  -  $600

___ Shenyang to Beijing  - October 21 -  $160

___ October 21 -  Go home at this point. Your ticket is already paid for

___ Beijing – October21 – 26 - $600

___ October 26 Go home at this point. Your ticket is already paid for

___ October 26  - Side trip if 12 people can go. $1200 includes ground and air transportation.

___ November 1, leave for home from Shanghai

                                                Total for expenses within China ____________________________________

___ Let me know about the trip in May 2009

Flying to and from the US involves using our US travel agent, Lee Kah. Book with her directly and pay her directly (Unless you are a POW),  e mail her at  kah.lee@verizon.net or call her at 301-340-9692

Travel within China is arranged through  our travel agent in China – Jack.  You pay TC and we pay him In order to get group rates.

******This form and first check due by July 1, next checks due by August 1 and September1. Of course you may pay early if you wish. Refund of $$ if plans change by September 25.

**Please enclose a copy of the front page 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. Or you can e mail that to

***Checks made out to TC .  Checks, form and photos mailed to

Ao Wang  5809 Calico Ct, Columbia, 21044

Pat Wang  Registrar for trip    patwangnc@yahoo.com   phone 704-264-9877 when in the States.

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