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Destination:
Antananarivo, Madagascar -
This is HTCNE's First mission to Madagascar
Team Leader - Dr. Gregory Keiser
Register Here
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Dates:
November 1 to November 10, 2007 Sponsor:
Center Fihavanana - Sister
Jeanette
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Administrative Contact:
Dana Buffin HTCNE in Office Admin:
Dana
Buffin, Missy Law,
Lisa Cohn
Office phone: 860-355-1828 ext 29 (Dana) ext. 24 (Missy), ext. 23 (Lisa)
fax 860-350-6634 |
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Participants: |
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Team Leader |
License to Practice |
CV |
Diploma |
On Line Reg. |
Health Form |
Release of Liability |
Passport Info |
Credit Card Auth |
Visa |
2007 Dues |
Air Fare
|
In Country Expenses $TBD |
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Greg Keiser,
Team Leader |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
cc |
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Dental Team |
License to Practice |
CV |
Diploma |
On Line Reg.
|
Health Form |
Release of Liability |
Passport Info |
credit card auth |
Visa |
2007 Dues |
Air Fare
|
In Country Expenses
$TBD |
|
Robert
Arbuckle |
in |
in |
in |
in |
in |
in |
in |
in |
need |
in |
cc |
cc |
|
Melissa Burruezo |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
need |
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Mark Gleckner |
in |
in |
looking for it |
in |
in |
in |
in |
in |
need |
cc |
cc |
need |
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Martin
Skrapits |
in |
in |
in |
in |
in |
in |
expiring |
in |
need |
cc |
cc |
need |
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Christina Mazzone |
in |
in |
need |
in |
in |
in |
in |
in |
need |
cc |
cc |
need |
|
Jon
Molinare |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
cc |
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Clelia Ilacqua |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
need |
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Lisa
Rangel |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
need |
|
Tamar
Roodner |
in |
in |
in |
in |
in |
in |
in |
in |
need |
in |
in |
in |
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Mehrangiz Rostami |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
need |
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Christopher
Wyckoff |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
cc |
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Hygiene and
Dental Assistants |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
Visa |
2007 Dues |
Air Fare
|
In Country Expenses $TBD |
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Catherine
Madden |
in |
in |
need |
in |
in |
in |
in |
in |
need |
cc |
cc |
cc |
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Jennifer Iannacone |
in |
in |
in |
in |
in |
in |
in |
in |
need |
cc |
cc |
cc |
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Rebecca Trimarchi |
NA |
in |
NA |
in |
in |
in |
in |
in |
need |
in |
in |
in |
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Gregory H.
Keiser |
NA |
NA |
NA |
in |
in |
in |
in |
in |
need |
NA |
cc |
cc |
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Administration |
License to Practice |
CV |
Diploma |
On Line Reg.
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Health Form |
Release of Liability |
Passport Info |
credit card auth |
Visa |
2007 Dues |
Air Fare
|
In Country Expenses $TBD |
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Dana
Buffin |
NA |
NA |
NA |
in |
in |
in |
in |
in |
need |
in |
in |
in |
Katerina
Kruzykowski
admin, in-training |
NA |
NA |
NA |
in |
in |
in |
in |
in |
need |
in |
in |
in |
Visa Form - Will be sent shortly. You will need
at least one 2X2 passport photo
Make sure that your passport is valid for six
months past Nov 2007. By October 1, we will
require your passport, completed visa
application and photo in the office. |
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| Flight
Information: Meet at Airport at 4:00 p.m.
Terminal B |
| Departure |
Return |
Thursday, November
1, 2007 -
Depart Newark on Air France @ 8:15 p.m. Flight # 19
Arrive Paris 8:40 a.m. - Friday, November 2
Friday, November 2, 2007
Depart Paris @ 10:20 a.m. Air France Flight #
908
Arrive Antananarivo @ 11:00 p.m. |
Saturday,
November 10, 2007
Depart Antananarivo @ 1:30 a.m.
Air France Flight # 905
Arrive Paris @10:30 a.m.
Depart Paris @1:15 p.m.
Air France Flight # 18
Arrive Newark @ 3:40 p.m. |
** Air France travel can be
attributed to your Continental OnePass Account
Ann St Hilaire
Protravel International
VIRTUOSO Member
515 Madison Ave
New York NY 10022
Phone: 800-227-1059 x 274
Fax: 646-688-6889
Hotel Information
Hotel Saka Manga -Lot
IBK 7 Bis Ampasamandinika, Antananarivo, Madagascar
011-261-20 22 35809
Recommended
Travel Guide is by
Hillary Bradt
Please
note: If for any
reason you are
unable to travel it
is important that
you contact the Team
Leader or Admin
right away so that
your spot can be
filled. If you
get sick and are
unable to travel at
the last minute,
please also contact
the airline and
notify them that you
will not be using
your ticket.
This will allow us
to negotiate (with a
doctors note) a
replacement voucher
for a future
trip. If you
do not notify them
before the flight
leaves the ticket
will be lost.
Fax Forms to HTC at 860-350-6634
Mail Forms to HTC at P.O. Box 129, New Milford, CT 06776
E-mail to mlaw@htcne.org
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