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MISSION TRIPS REGISTRATION FORM
      Airfare
(Inclusive of taxes)		 Accommodation Total  
JUNE 2010
1. 10 - 21 Jun Indonesia, Malang --------------- FULL ---------------  
2. 17 - 20 Jun Northeast Asia --------------- FULL ---------------  
3. 17 - 20 Jun Indonesia, Jakarta --------------- FULL ---------------  
4. 17 - 20 Jun Indonesia, Malang --------------- FULL ---------------  
5. 17 - 20 Jun Indonesia, Dampit --------------- FULL ---------------  
6. 17 - 20 Jun Indonesia, Probolinggo --------------- FULL ---------------  
7. 24 - 27 Jun Taiwan, Taipei --------------- FULL ---------------  
8. 25 - 28 Jun Indonesia, Medan --------------- FULL ---------------  
9. 25 - 28 Jun Indonesia, Surabaya --------------- FULL ---------------  
10. 28 Jun - 1 Jul Hong Kong --------------- FULL ---------------  
JULY 2010
11. 2 - 4 Jul Indonesia, Pekanbaru --------------- FULL ---------------  
12. 2 - 4 Jul Indonesia, Manado --------------- FULL ---------------  
13. 2 - 4 Jul Indonesia, Jakarta --------------- FULL ---------------  
14. 9 - 11 Jul Northeast Asia --------------- FULL ---------------  
16. 17 - 19 Jul Malaysia, Kuching --------------- FULL ---------------  
17. 17 - 19 Jul Indonesia, Malang --------------- FULL ---------------  
18. 17 - 19 Jul Malaysia, Kota Kinabalu --------------- FULL ---------------  
19. 17 - 19 Jul Malaysia, Sibu --------------- FULL ---------------  
20. 17 - 19 Jul Indonesia, Tanjung Balai --------------- FULL ---------------  
21. 22 - 25 Jul Indonesia, Surabaya --------------- FULL ---------------  
22. 22 - 25 Jul Indonesia, Jakarta --------------- FULL ---------------  
23. 22 - 25 Jul Indonesia, Malang --------------- FULL ---------------  
24. 22 - 25 Jul Indonesia, Dampit --------------- FULL ---------------  
25. 22 - 25 Jul Indonesia, Probolinggo --------------- FULL ---------------  
26. 22 - 25 Jul Indonesia, Medan --------------- FULL ---------------  
27. 22 - 25 Jul Indonesia, Jakarta --------------- FULL ---------------  
28. 22 - 25 Jul Indonesia, Jakarta --------------- FULL ---------------  
29. 22 - 26 Jul Indonesia, Malang --------------- FULL ---------------  
30. 30 Jul - 2 Aug Malaysia, Penang --------------- FULL ---------------  
31. 30 Jul - 2 Aug Malaysia, Sitiawan --------------- FULL ---------------  
32. 30 Jul - 2 Aug Taiwan, Tainan --------------- FULL ---------------  
AUGUST 2010
33. 6 - 8 Aug Malaysia, Sitiawan --------------- FULL ---------------  
34. 6 - 8 Aug Indonesia, Batam --------------- FULL ---------------  
35. 6 - 8 Aug Northeast Asia --------------- FULL ---------------  
36. 6 - 8 Aug Northeast Asia --------------- FULL ---------------  
37. 13 - 16 Aug India, Kochin --------------- FULL ---------------  
38. 13 - 16 Aug Indonesia, Malang --------------- FULL ---------------  
39. 20 - 22 Aug Northeast Asia --------------- FULL ---------------  
40. 20 - 22 Aug Northeast Asia --------------- FULL ---------------  
41. 25 - 29 Aug Indonesia, Malang --------------- FULL ---------------  
SEPTEMBER 2010
42. 4 - 6 Sep Malaysia, Kuching $300 $150 $450
43. 5 - 9 Sep Northeast Asia $900 TBC TBC
44. 11 - 12 Sep Malaysia, Sibu $600 $100 $700
45. 12 - 16 Sep Northeast Asia $900 TBC TBC
46. 19 - 23 Sep Northeast Asia $900 TBC TBC
47. 26 - 30 Sep Northeast Asia $900 TBC TBC
OCTOBER 2010
48. 3 - 7 Oct Northeast Asia $900 TBC TBC
49. 10 - 14 Oct Northeast Asia $900 TBC TBC
50. 17 - 21 Oct Northeast Asia $900 TBC TBC
51. 24 - 28 Oct Northeast Asia $900 TBC TBC
52. 25 - 31 Oct Indonesia, Surabaya $300 $400 $700
53. 31 Oct - 4 Nov Northeast Asia $900 TBC TBC
NOVEMBER 2010
54. 7 - 11 Nov Northeast Asia $900 TBC TBC
55. 14 - 18 Nov Northeast Asia $900 TBC TBC
56. 19 - 21 Nov Malaysia, Kuala Lumpur - $280 $280
57. 21 - 25 Nov Northeast Asia $900 TBC TBC
58. 28 Nov - 2 Dec Northeast Asia $900 TBC TBC
DECEMBER 2010
59. 5 - 9 Dec Northeast Asia $900 TBC TBC
60. 12 - 16 Dec Northeast Asia $900 TBC TBC
61. 19 - 23 Dec Northeast Asia $900 TBC TBC
62. 26 - 30 Dec Northeast Asia $900 TBC TBC
All prices are subject to change. This excludes your personal daily meals and other expenses.
Dates reflected do not include flight time.

For mission trips to other countries, kindly contact Ms Sharon Lee at +65-6737-6266
*All fields are required.
Passport Name:
Passport No.:
Passport Expiry Date: (DD/MM/YY)
Nationality:
E-mail:
Gender: Male Female
Date of Birth: (DD/MM/YY)
Contact No.:
Cell Group:
Cell Group Leader:
Zone Pastor/Supervisor:
*Applications are subject to Cell Group Leader's recommendation.
Registration for all the above mission trips is open to City Harvest Church members ONLY!
 
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