tour registration form


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Please submit your registration form and payment to: Shandon Baptist Church (Attn. Lee Hutson), 5250 Forest Drive, Columbia, SC 29206 (Phone: 803-782 1300, ext. 121)

SHANDONFERRY BAPTIST CHURCHCHURCH JOHNSON BAPTIST

Tour Registration Form Passenger name (as shown on passport)

___________ _________________________ _______________________ ___________________ Title First Name Middle Name Last Name

_______________________________________________________________________________ Name as you want it to be on your name tag, luggage tag and certificate Address

_________________________________________________________________________________

___________________________ ______________________________ ______________________ City / Town State / Prov. Postal / Zip Code

11 days Biblical Tour to Israel Telephone

__________________________________________ ______________________________________ Home Mobile

E-Mail address

_________________________________________________________________________________

Personal details and Date of Birth

___________ __________ ________ _____________ _________________ Month Day Year Age Marital status

Physical limitations

_________________________________________________________________________________

Emergency contact

_________________________________________________________________________________ Please list name(s) and telephone number(s) of person(s) to contact in case of an emergency

Male

November 25-December 5, 2018

Hosted by George and Megan Wright

Female

TOUR REGISTRATION FORM 11 days Biblical Tour to Israel November 12-22, 2017

Check one option

I desire to have single accommodations (without a roommate) and willing to pay the single accommodations supplement of 1522 US$

I will share accommodations with _____________________________________________

I require someone to share accommodations with

Payment method

Check (attached)

Credit card (fill below)

Hosted by Bryant and Anne Wright

Cost per person (including round trip airfare from Atlanta): 5380 US$ (with Delta Airlines through JFK) Cost per person (including round trip from Atlanta): 5759 US$ (Delta) 5030 US$ (with Air Canada through Toronto) 5195 US$ (Turkish) * Price to change until actual ticketing Costsubject per person (land only without flights): 1480 US$without flights) 3680Single US$ supplement: (land only services

3711 US$

Single supplement: 1522 US$

Bank transfer (call for details)

_______________ ___________________________________ _____________________________ Card Type Card Number Name of card holder

_____________ _______________ ____________________ Expiry Date CVV Sum to Charge First deposit of 500 US$ per person is due no later than December 15, 2017. Next payment of 1500 US$ per person is due no later than March 15, 2018. Final payment is due no later than 90 days prior to departure date, by August 25, 2018. Please make check payable to “Shandon Baptist church”.

Sending your registration form and payment, constitutes your acceptance of the conditions and statement of responsibility in the attached brochure. You also represent that you are fit to participate in this tour and accept risks to your health and safety. I have read the conditions and accept them. I authorize you to charge my credit card for the above sum. __________________________ Date

_________________________________________ Signature

TEL/FAX: +1 803 782 1300, ext. 121 | +972 777 012012 Mobile:

+972 54 6787997 (Gloria-office in Israel)

Email:

[email protected] | [email protected]

Web Site: www.shandon.org | www.gatestoisrael.com