KSU AP DESIGN ITALY FALL 2022 PROGRAM FORM

Travel Information

Group Flight *

I will participate on the KSU group flight to Rome.

Departure Options *

Kansas City – $ 1,099.00

Connecting Flight

I would like to book a connecting flight

From *

Please note, add-on airfare is extra and will be quoted to you. Please continue to complete the reservation form. Your card will not be charged until you receive a fare quote for the add-on. We will contact you regarding the additional fare upon receipt of your form.

Return Options *

I would like to return with the group from Rome on December 12, 2022.
I would like to return on an alternate date or from a different destination

From *

Return Date *

Special Meal Request (if any)

Contact Information

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Passport Information

Name *

First

Middle

Last

Date of Birth *

Gender *

Male
Female
Other
Prefer not to say

Citizenship *

Passport Number *

Issuing Country *

Expiration Date *

Terms and Conditions

Agree to Terms and Conditions *

I have read the information listed in the flight memo and I agree to the terms and conditions.