Chiapas 2015 Registration

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  • Chiapas, Mexico: May 2015

    Please fill out all the required information and make payment no later than 1/9/15 [NOTE: In order to complete this form, you will need current digital images of your passport and relevant professional license (jpeg or pdf files no larger than 1mb each). Your payment upon submission of this form shall constitute your legal acceptance of all terms and conditions referred to herein.]
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  • Birth Date*
  • Place of Birth
  •  Passport Number
  •  Other?
  • I have been invited to volunteer and would like to participate in the following mission segment(s):
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  • I have read and agree to MMM’s Code of Conduct, Confidentiality and Media Policy:
  • Volunteer fees for MMM’s 2015 Chiapas Mission are US$600 per person, which sum shall include roundtrip airfare from LAX to Tuxtla Gutierrez (TGZ), roundtrip ground transportation from TGZ to San Andrés Larraínzar, some camping equipment and supplies (as necessary), meals during work days, administrative and membership fees, plus two nights hotel accommodations in San Cristóbal de las Casas. Payment can be made by PayPal or credit card on the following screen; your payment and submission of this form shall constitute your acceptance of all terms and conditions contained or referred to herein. Press “Submit” to continue.

  • USD