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    Individual Visit Request
    and I plan to arrive.
    and I plan to depart.
    (If flying, please indicate airline, flight number, and time, if known)

    Gender:
    US Citizen:
    Anticipated entry date: Year
    Degree program interests

    IMPORTANT: Please indicate travel plans

    Travel assistance will be available for first time participants.

    Registration is complete when we receive
    the appropriate fee payable to Louisville Seminary.
    ____$10 per person____$15 per couple____$20 per family

    You may PAY NOW, on-line, from the acknowledgement
    page of this form (after you select "submit")

    OR send your check to Louisville Seminary
    1044 Alta Vista Road, Louisville, KY 40205-1798

    All meals and accommodations during Exploratory Weekend
    will be provided for first-time participants.

    • 1044 Alta Vista Road |
    • Louisville, KY 40205 |
    • 800.264.1839 |
    • Fax: 502.895.1096 |
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    © Louisville Presbyterian Theological Seminary