ISRAEL 2019 PAYMENTS (TOTAL COST $3485)
 
ISRAEL 2019 PAYMENTS (TOTAL COST $3485)
FIRST NAME (As on passport)  * 
MIDDLE NAME (As on passport)
LAST NAME (As on passport)  * 
DobB (As on passport)  * 
DofB (As on passport)
ADDRESS  * 
CITY  * 
STATE  * 
ZIP CODE  * 
BEST CONTACT PHONE NUMBER  * 
CHURCH YOU ATTEND  * 
Passport Updated?  * 
If Traveling Alone choose one:  * 
Room mate Name
Prices are per person based on double occupancy. Refunds are subject to penalty. Please refer to registration page that can be downloaded from www.calvaryeastvale.org. Trip cancellation insurance is recommended. Online payments are subject to 3% convenience fee surcharge.
The Israel registration form is required and can be downloaded from www.calvaryeastvale.org. The form can be submitted at any service. Thank you.
PAYMENT (including 3% surcharge ) Deposit - $412 - with application May 20th- $618 - 2nd payment Aug 19th- $721 - 3rd payment Nov 11th- $824 - 4th payment Jan 6th - $1015 - final $ 
Your Email Address  * 
Total $
 
 
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