Cuba/Puerto Rico Educational Tour Application

Green Cities Fund, Inc. is tax exempt under Section 501(c)(3) of the Internal Revenue Code.
Federal Employer Identification # 20-3911647

Travel is always a risky business, subject to delays, accidents and disappointments. While Green Cities Fund will do its best to facilitate your visit, it cannot assume any liability and it is the traveler’s responsibility to obtain travel and medical insurance if they wish such protection. Traveler is responsible for making travel arrangements to and from destination.

Where would you like to travel?

Cuba

Puerto Rico

Group Name or Institution

Name of organizer

First

Last

Phone

Address

Desired length of trip (number of nights)

Estimated group size

Proposed departure date

MM/DD/YYYY

Alternate departure date

MM/DD/YYYY

Preferred accommodations

Casa particular (B&B) (for groups of 6 or less)

3 Star Hotels

4 Star Hotels

5 Star Hotels

Select all that apply

Trip Interests

In as much detail as possible, state the specific interests of the group and any particular people, institutions or organizations they wish to meet

From what city or cities will group members come?

Enter one city per line with number of people (ex: for two people from San Francisco write: “SFO, 2”)

If you are human, leave this field blank.