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Book your all inclusive 8 days and 7 nights humanitarian chiropractic trip for $1995. Please note that this trip does not include international airfare. For a more detailed description of what is included please review the terms and conditions. Once your application is submited you will recieve the necessary instructions to make the deposit of $1995 in order to lock in your position on the BMTE. It is important to note there are only 10 spaces available and the first 10 deposits received will be making the trip.
Name   Date   Age     Please Choose One
 

Chiropractic College   Current quarter/trimester/semester   Date of Graduation  
     
           

If you are a DC where do you practice:   E-mail address  
   

Contact Phone Number   In Case of Emergency Contact  
   

Why do you want to participate in the BESTMISSIONTRIPEVER?

What do you plan to give to the mission?

What do you expect to receive from the mission trip?

What do you perceive to be your known strengths?

What do you perceive to be your known weaknesses?

Have you previously traveled internationally?
If so, where and why?

Have you previously participated in other mission trips?
If so, which ones and where?

How did you hear about us?

Do you have any dietary needs? ie: vegetarian, vegan, diabetic, others.

Are there any medical conditions that would limit your abilities in any way?

Is there anything else you want to tell us?

Choose your destination:   Choose your T-shirt size:
 

 
Add Chiropractic Table (for an additional fee of $105.00) Payment due upon arrival in Lima.
Get a Private Room (for an additional fee of $400.00)
 

Along with this application you MUST attach a recent photo of yourself and send it via:
bestmissiontripever@gmail.com This is very important so you will be recognized for your
airport pickup.


Thank you for your passion for life, love and living in an attitude of gratitude!

Sincerely,
See you soon,

 

please read and agree terms and conditions and travel recomendations to complete the application

 

 I have read the terms and conditions and travel recomendations, and I agree.

 
 

 

 

         
 
 
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