Delegate Form

Delegate flight request form. Please fill out highlighted Yellow requirements below (All forms should be completed electronically and emailed to [email protected]. Any questions please contact us at 646-880-1537)

PROGRAM INFORMATION

Program Name: Spring 2020: Destination: , South of the Sahara

Senegal: Global Security and Religious Pluralism

Arrival Date and Time: Jan 26 2020 Return Date and Time: May 09 2020 (any time) (any time after 1 pm)

Return Departure City: Origin City: New York

Sample Schedule From JFK @ $ 1800

Flights Flt Flight Class of Operated Nr. Airline Departure From Destination Arrival Stops Equipment Time number Travel by (Total) New York, John F. Lisbon, Friday, Kennedy Saturday, TP-TAP T- Lisbon Portela TP-TAP 1 TP 208 01/24/2020 International 01/25/2020 0 () 339 6:35 Portugal Economy Airport, Portugal 11:30 PM Airport, 11:05 AM Portugal NY, United States

Lisbon, Dakar, Saturday, Sunday, Airbus TP-TAP TP T- Lisbon Portela Blaise Diagne TP-TAP 2 01/25/2020 01/26/2020 0 () A321- 4:15 Portugal 1485 Economy Airport, International Portugal 08:50 PM 01:05 AM 100/200 Portugal Airport,

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Dakar, Paris, Saturday, Sunday, AF-Air Q- Blaise Diagne Charles De Boeing 777- AF-Air 3 AF 719 05/09/2020 05/10/2020 0 () 5:30 Economy International Gaulle Airport, 300 France 11:05 PM 06:35 AM Airport, France New York, John F. Paris, Sunday, Kennedy Sunday, AF-Air Q- Paris Orly Boeing 777- AF-Air 4 AF 032 05/10/2020 International 05/10/2020 0 () 8:25 France Economy Airport, 200 France 02:15 PM Airport, 04:40 PM France NY, United States

Nonrefundable Changeable for a fee 2 bags permitted with AF, Zero bag with TP

Please see below for Personal Details.

PERSONAL DETAILS

Passport First and Middle Names: Passport Last/Family Name:

Nationality: Passport Number

Gender: Date of Birth:

Email Address: Cell Phone Number (Include Country Code):

Additional Information please advise:

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