Leader's Name
Street Address
City, State & Zip
School/Organization
Home Phone
Work Phone
Cell Phone
Email
Program Type
Target Language
Destination(s)
Planned Dates
Language Classes	Hours Per Day Number of Weeks
Number of Prospective Participants
Age/Grade Level
Number of Group Leaders
Lodging
Amerispan Arranged Airfare
Departure City
Arrival City
Additional Activities & Excursions
Would you like to make your group open to other participants via the AmeriSpan website 'Join a Group'?

Toll Free: 800-879-6640

	AmeriSpan Study Abroad
	Email: info@amerispan.com
	Hours: 9am-5pm EST (Mon-Thu), 10am-6pm EST (Fri)
	Toll Free in USA & Canada: 800-879-6640
	Worldwide: 215-751-1100 \| Fax: 215-751-1986
	SKYPE: amerispan (Goes to our phones when we're offline!)
	Facebook: AmeriSpanStudyAbroad
	Twitter: AmeriSpanAbroad
	YouTube: AmeriSpan
	P.O. Box 58129, Philadelphia, PA 19102-8129

We offer programs in the following countries:

Argentina - Australia - Austria - Bolivia - Brazil - Cambodia - Canada - Chile
China - Colombia - Costa Rica - Dom Republic - Ecuador - Egypt - England
France - Germany - Ghana - Greece - Guatemala - Honduras - India - Italy - Japan - Jordan - Kenya - Korea - Mexico - Monaco - Morocco - Nepal
Nicaragua - Oman - Panama - Peru - Poland - Portugal - Puerto Rico - Russia
South Africa - Spain - Switzerland - Taiwan - Tanzania - Thailand - Ukraine
United Kingdom - United States - Uruguay - Venezuela - Vietnam