Payment Options. (Do not send cash)  

Check/Cashier's Check Money Order Visa Card  
Mastercard American Express  

Credit Card No:  
Expiration Date:  
Name On Card/Who's card is it?: 
Security Code:   

What about an Air Ticket?  

I will get my own ticket (Remember to buy an airline ticket early to avoid higher fares.  The cheapest airfares are available via the Internet; however, if you need assistance in arranging a ticket please contact us at 1-800-999-7567).  

My departure Airport:   

Personal Information  

Male Female    Date of Birth:   
Exchange Agency in your home country:  
Exchange Agency USA:  
Host Family Name:   
Student Last Name:   
Student First Name:   
Street Address:   
City:   
State:   
Zip:   
Telephone:   
Student Cellphone (not host family):   
Email:  
Host Family Email:    

Which Tour would you like to join?      

__________________	--
HAWAII FEB 15-22 '17	$1150
__________________	--
Western Explorer MAR 11-17'17:*	$999
California Explorer* MAR 18-24 '17:*	$950
__________________	--
East Coast Explorer MAR 25-31 '17:*	$950
HAWAII #2 APR 5-12 2017 :	$1150
__________________	--
Los Angeles Explorer May 27-June 2'17:	$950
* The Western trip makes a great combination with The California Explorer. The California tour can also be combined with the East Coast tour for a 2 week vacation. Take 2 trips, with 1 airline ticket!