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Travel Plans Form

Personal

First Name: *

Last Name: *

Email Address: *

Which program will you be participating in: *

Fall

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First Flight

Airline: *

Flight Number: *

Date of Departure: *

Time of Departure: *

Departure Airport: *

Date of Arrival: *

Time of Arrival: *

Arrival Airport: *

Connecting Flight

Airline:

Flight Number:

Date of Departure:

Time of Departure:

Departure Airport:

Date of Arrival:

Time of Arrival:

Arrival Airport:

Return Flight to U.S. (if available)

Date of Departure:

Time of Departure:

Departure Airport:

Arrival Terminal in Frankfurt: *

Terminal 1

Terminal 2

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Contact Information

The American Junior Year at Heidelberg University
Heidelberg University
310 E. Market St.
Tiffin, OH 44883-2462

telephone: (419) 448-2062 or 1-800-925-9250
fax: (419) 448-2217
E-mail: ajy@heidelberg.edu

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