HEARTS FOR ISRAEL-The Jesus Journey-May 27 – June 8, 2018
Please fill out this form as completely as possible and return it to your tour host. Please PRINT or TYPE all answers. Non-USA Citizens
may need a VISA to travel to Israel and Jordan. It is the responsibility of the passenger to obtain the necessary documents required to travel. This application must be submitted with your deposit. Unavailable passport information may be supplied when you receive your passport. Your passport must be VALID
THRU SEPTEMBER 25, 2017 (SIX months BEYOND your return date)No medical shots are necessary.
1. Your Legal Name as it is written on your passport. Passport name and airline ticket name must match exactly.
The Passenger will be responsible for applicable airline fees to change or correct a name within 45 days of departure.
______Male: ____Female:____
2. Your Name as You PREFER it ON Your Tour Badge: (please print-this does not have to match your passport) ______
Address: ______E-Mail: ______
City ______State: ______Zip: ______
Phone: Work: (____)______Cell (____)______Other: (____) ______
Occupation: ______Citizen of What Country? ______Place of Birth: ______Date of Birth: ______Passport Number: ______
Date of Issue: ______Date of Expiration: ______
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Name of Roommate: (if known) ______(we cannot guarantee you a roommate)
Do You Request a Single Room at $1325.00 additional cost Yes ___ No ___ Do You Need Physical Assistance in Any Way? ______
Please Specify:______
Person to Contact in Case of Emergency: ______Telephone: (____) ______
I AM PURCHASING THE LAND ONLYTOURand I will secure my own airline reservations: Yes _____ N0 ______Land price upon request
Please supply your airline itinerary to the tour host if you are purchasing the LAND ONLY TOUR package.
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Payment Schedule:Tour Cost: Round Trip from Newark $4995.00---Enclosedwith application: $500.00 p/person
2nd payment $2000.00due:November 5, 2017(Deposit refundable for 30 days after receipt of payment)
Final payment/balance due on or before:April 6, 2018. Additional payments may be made at any time in any amount.
SIGNATURE: (required for enrollment)______Date: ______
Enrollment in this group tour constitutes your financial commitment and acceptance of thetour conditions/responsibilities. For your reference, please keep a copy of this form.
The tour hostand/or the tour company is not responsible for any mishaps withany suppliers or schedule changes that may incur additional passenger expenses. Travel Insurance is recommended.
Make checks payable to Hearts for Israel Tours- Please return this application with deposit to:
Kim Southard
2413 Creekwood Drive
Fort Collins, Colorado 80525
The requested information is necessary for the preparation of group travel documents and will be kept confidential.
Copies required for additional pilgrims
This information is necessary for the preparation of group travel documents and will be kept confidential.
CONDITIONS OF TRAVEL: Hearts for Israel Tours and Ed Hill Tours and its affiliates, assignees, representatives, and cooperative agents act only as agents for the passengers and the companies they represent, and in consequence, accept no responsibility for accidents, damage, baggage, baggage loss, delays due to strikesor to faults and defaults of any company used for the carrying out of this tour. In the event it becomes necessary or advisable for the comfort or well-being of the passengers, or for any reason whatsoever to alter the itinerary or arrangements, such alteration may be made without penalty to Hearts for Israel Tours or Ed Hill Tours. Additional expenses, if any, shall be paid by the passengers. The airlines concerned are not to be held responsible for any acts, omissions, or events during the time passengers are not on board their planes or conveyances. The passage contract in use by the companies concerned, when issued shall constitute the sole contract between companies and the purchaser of this tour and/or the passenger. Hearts for Israel Tours, Ed Hill Tours and/or its agents bears no responsibility for health or sickness, accidents, personal effects, loss of life, acts of war, and acts of terrorism or civil disorders. Participation implies agreement with the foregoing.