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					"Love To Do It" ~ PPHBC Church Camp 19 - 22 June 2006 (Mon - Thu) Harris Resort, Batam Island, Indonesia
Notes:

Main Applicant Details Name (as in Passport): Contact Number Email Address

(HP)

(H)

This form may be emailed to: lovetodoit@pphbc.org Name (Adult, as in Passport) 1 The closing date for registration is on 14 May 2006 (Sunday). 2 Rooms are limited and will be allocated on a first come first served basis 3 To facilitate room allocation, registrations without payment will be put on a waiting list. 4 For families requesting 2 connecting rooms, please indicate "Connecting Rooms" and attach the 2 forms together 5 Baby cots free for infants on request, subject to availability. 6 Cheques should be made payable to "PPH Brethren Church". 7 Cancellation charges shall apply after 21 May 2006. 8 Please ensure that your Passports are valid until after 19 Jan 2007. 9 Work Permit holders are required to bring their work permits along. 10 Visas are not required for Singaporean and ASEAN passports. 11 Indonesian domestic helpers are required to endorse their passports at the Indonesian Visa fee of US$10 payable for PRC and Indian passport holders directly at Batam Customs (place inside passport). Please check with us or Indonesian embassy for visa requirements for other nationalities. 12 Employers of Indonesian domestic helpers are to endorse maids' passports (for waiver of exit levy) at Indonesian Embassy, Counter 1 at 7 Chatsworth Road Tel: 67377422. Open 9.30am - 12pm. 3 working days needed to process endorsement. 13 Fees inclusive of accomodation, all meals, ferry charges, transfers, fuel taxes, 1st day city tour, camp poloT-shirt for adults, full-day kid's programme byScripture Union, medical insurance ($500 max) and accidental death coverage ($10,000) Camp Polo T-Shirt sizes - XXS, XS, S, M, L, XL (for adults only) Passport No. Expiry Date Nationality Birth Date T-Shirt Size

Name (Child, Ages 3 to below 12)

Passport No.

Expiry Date

Nationality

Birth Date

Remarks

Name (Infant, Age below 36 mths)

Passport No.

Expiry Date

Nationality

Birth Date

Remarks $40 / infant $40 / infant Total

Board & Lodging (Choose your Room Scheme) Twin Sharing (2 Adults @ S$506 per room) Triple Sharing (3 Adults @ S$699 per room) Quad Sharing (4 Adults @ S$892 per room) reserved for Youths 1 Adult +1 Child w bed (S$466 per room) 2 Adults + 1 Child w bed (S$699 per room) 2 Adults + 1 Child w/o bed (S$659 per room) 1 Adult +1 Child w bed +1 Child w/o bed (S$622 per room) 2 Adults +1 Child w bed +1 Child w/o bed (S$852 per room) 2 Adults + 2 Children w bed (S$892 per room) 1 Adult + 2 Children w bed (S$659 per room) (Note: Child rates applies for those before 12th birthday)

Select

For Official Use Amount Received : Cheque Number : Date Received : Remarks:

Infant/Toddlers (below 36 months) $40 Received by : Receipt Number : Room No. : Additional Requests: 1. Connecting Room: 2. Baby Cot Total Fees Note: ~ Please indicate the Applicant's Name & "Church Camp 2006" on the reverse side of the cheque. ~ Do speak to us on other room combinations. ~ If you have any other queries, please speak to us or email them to lovetodoit@pphbc.org Request for Connecting Rooms Connect room with: Connecting rooms are available subject to availability. Please remember to mark your name in the other applicant's form which you wish to connect with.

Camp Fees:

File: 6989439f-16eb-4808-9728-c5b915b085ba.xls, Rel 3a


				
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