This program has three types in two areas are Chiangdao district Chiangmai province, and Pai district Meahongson province. Please specific clearly about the program and the area you choose    The program cost only U$ 250 per person/week( No pick up cost only 180 dollars/person)

Personal information

Full name (first/middle/last names):

Gender Age Nationality Attach a copy of your passport with this form

If you come as a group give us your group name From institution/organization name Contact person/in charge; First name
Middle name   Last name    
your role at this group Occupation
Email Phone

Total number of participants with a copy of all participants’ passport attach with this form

Information about the programs and arrival and departure of the group

Which program and area you would like to join?

( ) One week program in Chiangdao area    ( ) Two weeks program in Chiangdao area

( ) One week program in Pai area               () Two weeks program in Pai area

( ) Two weeks program bot areas (Chiangdao and Pai)

Your arriving time/date/moth/year and details about your flight information .

Details about your departure information .

Participants’ expectation from the program/trip (We do the best to meet mutual benefits)

Payment please deposit 50% of total cost via Life Development Center PayPal account 10 days prior arriving day for confirmation, remaining 50% please pay at the project site. Thank you

Any notification about participants’ medication and dietary

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