APOC    

 

 

PLEASE NOTE: This form is specifically for requests of 11 to 20 credentials. We require a $35 administrative fee to fill your request and this fee must be paid using the online payment facility that will appear when you click SUBMIT below to process your request. If you have arrived here by mistake and wish to request fewer than 11 credentials, click HERE to return to the original form.

Donations are of course gratefully accepted, either online when you submit your credential request or by check to the address below.

          American Pilgrims on the Camino
          1514 Channing Avenue
          Palo Alto CA 94303-2801

While credential requesters may certainly mail a check to cover the administrative fee if preferred, for requests of 11 to 20 credentials the use of this online form for the request itself is required.

Please allow at least one month for processing for North American addresses and five weeks for all others! We try to deliver credentials at least one month before your indicated departure date. If you would like some other arrangement, please note this in the comment field provided below. We ask that you use normal capitalization in your entries, i.e., not all caps or all lower case. Please do not submit requests until within three months of your departure.

Also see our FAQs page for additional information on the credential and the compostela. If you still have questions about the credential or your request you can always contact the credential coordinator.

* STARRED FIELDS ARE REQUIRED
Credential Request Form

* Requester's Name
* Mailing Address
* City
* State / Province
* ZIP / Postal Code
* Country
* E-mail

*
Date of departure from address

  
This provides us a deadline for mailing your credential(s). Please do not submit requests earlier than three months before your departure!

* How many credentials requested?
  
For ALL the requested credentials, including the requester, provide the information in the fields below.

In the fields below please enter the information for each credential as you would like it to appear on your documents.
The first row must be the information for the requester.

  Full Credential Name Hometown State / Province Country E-mail
* Credential #1 
Credential #2 
Credential #3 
Credential #4 
Credential #5 
Credential #6 
Credential #7 
Credential #8 
Credential #9 
Credential #10 
Credential #11 
Credential #12 
Credential #13 
Credential #14 
Credential #15 
Credential #16 
Credential #17 
Credential #18 
Credential #19 
Credential #20 


Optional comment about credential information. For example a state or province for a country other than the U.S. or Canada. Be sure to provide the credential number.

           


* For your upcoming Camino, what will be your mode of transportation?
* Anticipated start and end locations
Start location on Camino
End location on Camino
* How many days do you expect to be traveling on the Camino?
* American Pilgrims does not charge for its credentials. However for requests for 11 to 20 credentials we require a $35 administrative fee and this fee must be paid using the online payment facility that will appear when you click SUBMIT below to process your request.

What is your past experience on the Camino?
Additional information about your upcoming Camino
Comment

All information provided will be used exclusively by and for American Pilgrims on the Camino. No personal information you provide will be used, lent or sold to any other organization whatsoever.

Review the information you have entered. If everything is correct, click the Submit button. If you have missed a required field (one with an asterisk) an error message will appear.

Please do not submit requests until within three months of your departure.

This form is for requests of 11 to 20 credentials and its receipt must be accompanied by an online payment notice of the $35 administration fee. This online payment can be made on the page that will appear after clicking "Submit". Requests for which we do not have an accompanying online payment notice will require special communication. Thank you for your understanding.

Rev 04/07/12
 
 

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American Pilgrims on the Camino
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