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Registration Form
I
Journey to the Homeland Tour
North Dakota State Univesity Library, Fargo
20 May - 30 May 2009
Tour including Odessa, Ukraine, the former German villages and
Stuttgart, Germany.
The price of the tour is $4,850 per person double
occupancy. The first and second payments of $1,500
is due upon registration or by 1 December 2008 (for
some registrations, already paid). The second of $1,500
is due by no later than 1 February 2009. The final
payment of $1,850 per person is due by no later than
1 April 2009. Add single supplement of $300 for persons
requesting a single hotel room.
Please make check payable to NDSU Libraries and mail together with
this completed form to the following address: Journey
to the Homeland Tours, Germans from Russia Heritage
Collection, NDSU Library, P.O. Box 5599, Fargo, ND
58105-5599.
Person registering for the tour may wish to make full payment of
$4,850 per person double occupancy plus $300 for single supplement
hotel room if desired.
Please complete and return the information below:
Information sheet for tour participants (If a couple or additional
persons, each person should complete a separate form. Please make
duplicate copies of forms if necessary.)
Please complete the following:
(If available, please type)
Name:
(Include maiden name for married women)
Address:
Daytime phone number with area code:
Evening phone number with area code:
Fax number if available:
E-mail address:
Your approximate age: (circle) 30s 40s 50s 60s 70s
If desired, are you willing to share a room with another male or
female. Each person will have separate beds.
Circle: Yes No
Comments:
If you already know another person who will be joining the tour,
do you have a preference to share room? Identify name of other person.
Comments:
Please list any health restrictions or concerns.
Do you have any dietary restrictions? If so, please identify.
Do you have any problems with walking?
Name of Black Sea and/or Bessarabian German villages of your ancestors:
(Identify if village is in the Black Sea region or the Bessarabian
region such as Selz (Kutschurgan, Black Sea or Krasna (Bessarabia).
If you wish to visit your ancestral villages, we will need to know
the names of the villages.)
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Comments regarding these villages:
Do you have any village maps of the German villages of your ancestors?
Please identify which villages?
Have you compiled or published any family histories? If so, please
identify the name of the family history and which family names are
included along with names of German villages relating to these families.
Please provide any other additional comments about yourself that
will be helpful in planning our journey to Ukraine and Germany.
Use reverse side of paper or additional sheet of paper if necessary.
Please return this form to:
Michael M. Miller
NDSU Libraries
P.O. Box 5599
Fargo, ND 58105-5599
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