GROUP LEADER TO COMPLETE THIS FORM AND SUBMIT

A MINIMUM OF 6 WEEKS PRIOR TO MISSION VISIT DATE

Dear Group Leader,

The ACAF Mission Visit Team will send a representative to Lima to meet you and your group at the Lima airport and to accompany you in Lima and when you travel to Chimbote. There will be a small fee for this service that will be included in the invoice that will be issued for your group costs.

Please note that the mission representative is there solely to accompany and assist your group but that it is your responsibility as group leader to arrange your group’s transfers and accommodations in Lima and travel to/from Chimbote.We are happy to share a list of recommended travel agents within Peru so let us know if you would like that information.

Once your group arrives in Chimbote the ACAF Mission Visit Team will coordinate all group transfers, travel and accommodations while in Chimbote.

Please proceed to page 2 and complete this form in its entirety and email to:

and at least 6 weeks prior to your group’s arrival in Peru.

Thank you!

Friends of Chimbote

Po Box 717

West Fargo, ND 58078

701-364-0162

Please fill in the following information as completely as possible.

Travel Details

  1. Group Leader Name, E-mail address and Cell Phone Number (that you must have with you in Peru):
  1. Arrival Dates

In Lima:

In Chimbote:

  1. Arriving Flight in Lima from the US:

Day:

Time:

Airline:

Flight Number:

Arriving from:

  1. Lima Accommodations - Please tell us where you will be staying in Lima including hotel name, address and phone number:
  1. Please specify the travel agent you are working with for your transfers and accommodations in Lima and your travel to/from Lima/Chimbote:

Travel Agent Name:

Travel Agent Phone Number:

Travel Agent Email:

  1. How are you getting to Chimbote from Lima?

By Bus/Bus Company Name: ______

Leaving Lima at what date and time (6-8 hour travel time):

By Air to Trujillo/Airline Name:______

Leaving Lima at what date/time and flight number:

  1. How are you getting from Chimbote from Lima?

By Bus/Bus Company Name: ______

Leaving Chimbote at what date and time (6-8 hour travel time):

By Air from Trujillo/Airline Name: ______

Leaving Trujillo at what date/time and flight number:

Thank you!

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