The Volunteer

Please fill out a separate form for each person in your party.

First Name

Last Name

Address

City

State or Province

Zip or Postal Code

Country

Optional:

Phone #1

Phone #2

Phone #3

E-Mail #1

E-Mail #2

If applicable:

Rotary Club

Rotary District

Your Travel Plans

Please reserve my place for

I am traveling with

who is my Select Wife Husband Child Grandchild Club member Friend Other

and

who is my Select Wife Husband Child Grandchild Club member Friend Other

and

who is my Select Wife Husband Child Grandchild Club member Friend Other

We arrive in Select Guadalajara Manzanillo Colima on

(date) at (time)

Flight #

, Select United Mexicana Delta American West Continental American Alaska AeroMexico Airlines.

We depart from Select Guadalajara Manzanillo Colima on

(date) at (time)

Flight #

, Select United Mexicana Delta American West Continental American Alaska AeroMexico Airlines.

T-Shirt size(s) - Please specify S-M-L-XL-XXL - one per person

Your Stay in Colima

My party would prefer
(number of rooms and beds)

My dietary preference is
(check all that apply)

no meat no dairy no sugar other

I have these special needs

I smoke asthma diabetes other

I speak Spanish

I have the following skills
(check all that apply)

electrical plumbing computers other

Your Donation

A deposit of one-half of the requested donation of $1200 USD per person is required to hold your place.
Please select payment method and fill in amount donated.

I have used my credit card for an on-line donation of:

I am mailing to the Novato address my donation of:

for reserving places.

Comments?

Anything else you want to tell us?

Use this space to explain any "other" answers.

PLEASE NOTE:  Your form will be sent to the volunteer coordinator, who will review it and contact you
within a day or two. If you do not hear from us in three days, please follow-up with an email to Susan@projectamigo.org.

Our Promise: All information is confidential; available only to Project Amigo Staff.
We won't sell or trade your name to anyone.

If you prefer to email or fax your registration to us, please click here to access the Registration Form in Word Document (.doc) format.  The completed form can be faxed to (775) 259-2773 (a U.S. fax number which reaches us in Mexico) or sent as an email attachment to susan@projectamigo.org.