QUESTIONNAIRE: TRIP PREFERENCES, COSTS, AND PAYMENTS
Include more than one
person on your Study Away Form and on this questionnaire only if all charges
are to be billed to the same NSU account. If you do not already have an NSU
financial account, one will be established for you when you submit your Study
Away Form. Please complete this questionnaire
electronically or in hard copy and send it to me, John Mercer, at mercer@nsuok.edu or Building G, Room 280,
NSU-BA, 3100 E.
Name of NSU account holder: __________________________ Last 4 digits of SSN: ___________
Name of additional person on same account: ___________________________________
Please check each
statement below that fits your plans for the trip. You may change your preferences for any of
the following selections as long as you let me know in time.
Base price of trip per person (NOT including tuition and fees for the
course, which are billed separately): $1150
Air transportation
____ I/we plan to
fly roundtrip between
____ I/we plan to
arrange my/our own transportation to
Ground transportation
____ I/we plan to ride in one of the six-passenger vans provided for
ground transportation in
____ I/we plan to rent a car and provide all my/our own ground
transportation in
Housing
For
those traveling alone (only one name at top of this page):
____ I plan to stay in a room with an assigned roommate (double occupancy). If possible, I would like to room with _________________________________ in
____ a room with bath down the hall. Included
in base price.
____ a room with private bath. Add
$175 per person to base price.
____ I plan to stay by myself (single occupancy) in
____ a room with bath down the hall. Add
$140 to base price.
____ a room with private bath. Add a
whopping $448 to base price. (A limited
number of rooms with private bath are expected—but not guaranteed—to be
available.)
For
those traveling with another person (two names at top of this page):
____ We plan to stay in a room (double occupancy) with bath down the hall. Included in base price.
____ We would like to stay in a room with private bath. Add
$175 per person to base price. (A
limited number of rooms with private bath are expected—but not guaranteed—to be
available.)
Seventh Play
In addition to the six (6) plays that everyone in our group will see
and that we will study as a class, on our last full day you will see a seventh play, either Meredith
Wilson’s The Music Man or Sarah Ruhl’s Dead Man’s Cell Phone. Our group has 21 tickets to The Music Man
in the relatively large Angus Bowmer Theatre and 14 tickets to Dead Man’s
Cell Phone in the intimate New Theatre; not everyone will get to see the
play he or she prefers. Priority will be
given to the preferences of those taking the course for credit and those who paid
the trip deposit in 2008. You can read
about these plays by looking on the Web site of the
____ I/we would prefer to see The Music
____ I/we would prefer to see Dead Man’s Cell Phone.
____ I/we do not have a preference. Assign me to either play.
Course Enrollment
Unless you have my permission,
you are expected to enroll in Study Away: Shakespeare for three (3) hours of
undergraduate or graduate credit. You will enroll and pay for this course in
the same way you would for any other class. Tuition and fees are in addition to
the cost of the trip and are not included in the payment schedule below.
____ I/we plan to enroll in the course for undergraduate English credit.
____ I/we plan to enroll in the course for undergraduate Humanities credit.
____ I/we plan to enroll in the course for undergraduate Theatre credit.
____ I/we plan to enroll in the course for graduate English credit.
____ I/we do NOT plan to enroll in the course for credit.
Calculation of Your Cost
This does NOT include tuition and fees for the course, which are billed
separately from the trip.
Base price of trip per person: $ 1150__
Amount to be subtracted from base price per person: $_______
Amount to be added to base price
per person: $_______
Total amount to added or
subtracted (circle one) to base price
per person: $_______
Your total price per person: $_______
Number of persons in your party: Circle 1 or 2
Subtotal to be charged to this
account: $
______
Add $25 per vehicle you will
park at Southern Oregon University $
______
Total amount to be charged to
this account: $_______
Payment Schedule
If the total amount to be charged to your account is less or greater than
the base price of the trip ($1150), I will send you an individualized payment
schedule. The following generic payment schedule is for one person who owes the
base price of $1150:
$150 deposit due to reserve a place for you (refundable if you cancel by March 24, 2009)
$450 due by March 24, 2009 (nonrefundable unless another person takes your place)
$550 due by April 24, 2009 (nonrefundable)
Additional costs exceeding $1150 per person will be due by May 10, 2009 (nonrefundable).