thank you for your interest in the cimm education program!

Please submit your information in the form below and someone will respond to you shortly.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

School Name

Number of Students

Age/Grades of Students

Dates Interested

MM

DD

YYYY

MM

DD

YYYY

Program Interested In

Additional Message

Submitting your request for more information does not automatically book your trip. Someone will get back to you shortly in response to your inquiry.

If you would like to speak to someone directly, please call Michele Bara at (805) 984-6260 on Thursdays and Fridays.