REGISTRATION FORM: ISRAEL, MARCH 2017

After you have read the Tour Conditions, please print this form, fill it out and mail with your payment.

PERSON #1: Full name (first, middle and last names as it appears on your passport) 


PERSON #2: Full name (same as above) and relationship to above:

Home Address 

City

State + Zip

Home phone

Business phone

Cell phone

Email address

Person #1- Nametag (informal/nickname):

Person #2- Nametag (informal/nickname):
Vegetarian (person #1 above):               Yes / No Vegetarian (person #2 above):            Yes / No
Emergency contact (1) Name
(2) Relationship  
(3) City, ST 
(4) Phone (5) Cell phone

PASSPORT INFORMATION

NOTE:  Passports are required for this trip and cannot expire within 6 months of the return date.

Name

Passport #1: _____________________

(first name as appears on passport)

Passport being applied for;
info will be sent at a later date.

Passport #2: _____________________

(first name as appears on passport)

Passport being applied for;
info will be sent at a later date.

Passport #
   
Issue date
   
Expiration date
   
Nationality    
Birthplace (State)

 
Birth date
   
ISRAEL TOUR:  MARCH 21-31, 2017

Option 1: Full Tour (with int'l flights) $3,799.00 each

 Total persons:

 

x  ___  =

Subtotal:

Option 2: Land Only (no int'l flights) $2,449.00 each

NOTE: If you're interested in obtaining your own international flights, it is very important that you contact us before booking your flights so we can be sure you won't miss any events.

x  ___  =
 

Traveling alone?                       Single room supplement:   additional $619.00 = 

If you are a single traveler but have arranged a roommate, who are you rooming with?

Total Tour Costs:
 

Amount Enclosed (Payable to WWE):

Minimum $300 non-refundable deposit per person

Final payments are due by December 16, 2016

 $

Group travel insurance (per person)

Strongly recommended. Details on"Policies & Conditions"

 _____ $ 508 pp covers Full Tour ($3,799 pp)

 _____ $ 579 pp covers Full Tour ($3,799 pp) plus Single Room ($619)

 _____ $ 304 pp covers Land Only ($2,449 pp) - no flights included

           (call for price on Land Only with Single Room coverage)

NOTE:  Not available for travelers/residents from the state of New York. If this includes you, contact our agent directly at itcneil@carolina.rr.com or 704.372.5200 for other options.

x  ___  =

Travel insurance payable directly to

"International Travel Center"

ATTN: WWE Travel Insurance

1501 East Third St.

Charlotte, NC 28204

PHONE: 704.372.5200

  $

NOTE: Final payments are due by December 16, 2016.

CREDIT CARD PAYMENTS: WWE accepts credit card payments for an additional processing fee of 2.7% (Visa, MasterCard or Discover) or 3.1% (American Express). Please call the WWE office for this service at 704.543.1997. 

I have carefully read all the information pertaining to this tour and I agree to its conditions.

 Signature:  ____________________________________   Date: _____________________ 

      Send this completed form with check payable to:

WWE, PO BOX 471011, CHARLOTTE, NC 28247-1011

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