Name:
Surname:
Age:
Sex:
Direction:
e-mail:
When do you want to come?
How long do you want to stay?
Your spanish level
Special knowledge you can offer us
Motivation to come
Where did you hear from us?
If you are interested in joining the program please copy this application form in your computer, fill it and send it to the e-mail:
fundaintra@gmail.com
Direction:
Cynthia Gamboa
Cerca de la pista de aterrizaje
El Paují, Gran Sabana,
Edo. Bolívar, Venezuela
e-mail:
fundaintra@gmail.com, spanish, english, german
blog in spanish:
www.movimientointraterrestre.blogspot.com
Links in internet:
www.betterplace.org
Artistic Profile of Cynthia Gamboa in Youtube, search: perfil cynthia gamboa
BANK CONTACT
Banco Industrial de Venezuela, Calle Bolívar, CC Zona Franca, Local 1, Santa Elena de Uairén, Edo. Bolívar, Venezuela
Account:
Fundación Movimiento Intraterrestre, account number: 0003 0072 10 0001019875
(Explication of numbers: 0003: bank number, 0072: office number, 10: D.C., 0001019875: account number)
