IBI APPLICATION FORM

To reserve your Course or Program, please fill out the form below, call us at 1- 787-474-4850, 619-5059 or email ( info@ibipr.com) us to see if there are still openings for you. If so, we'll hold the spot for one week while you send a course deposit ($500 for most trips or 30% to IBI). Final payment is due 45 days prior classes or 60 days prior to departure. Packages with air, may require a higher deposit, and some trips may have an earlier final payment schedule. Please take a moment to review the Cancellation Policy.

First Name

Last Name

Middle Initial

Street Address

Address (cont.)

City

State

Zip/Postal Code

Country

Company Name

Work Phone

Home Phone

FAX

E-mail

URL

Please describe what Course, Program or Travel Package you desire
(Please Enter the Code and Title)

	BILLING

*Payment Plan* *	30% Down and 6 easy payments (Monthly)* 50% Down and 2 easy payments Full Payment
*Payment Type* *
*Credit Card #*
*Exp. Date:*
Account Name

Declaration.
By submitting this form, I accept the terms of Industrial Biotechnological Institute as laid out on this website, including the deposit and cancellation policies. I realize I will be sent and must sign a release waiver before departing on a tour.
Please be advised that your Course, Program or Travel Reservation will not be confirmed until your payment has been processed and we send you a confirmation. We will contact you to let you know the status of this reservation.
You may wish to print this page for your records before submitting.

Refunds via Credit Card or e-checks are subject to an additional 3.5% service fee. Enrollment in and payment of the tour constitutes your acceptance of the Terms & Conditions.

I have read and understand the all the agreements