REGISTRATION FORM: NOVEMBER 2009

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

Full name (formal name as it appears on your passport) 

Full name (formal name) of spouse included on trip

Home Address 

City

 State + Zip

Home phone

 Business phone

Cell phone

Email address

How to list your nametag (informal/nickname):

 Spouse--How to list your nametag (informal/nickname):
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:  NOVEMBER 10-18, 2009

Cost per person:
Total persons registering:
Subtotal:
$3,199.00
             x  ______    =

Single room supplement

___I'm a single traveler but do not need this service as I am rooming with:

______________________________________

Additional 449.00
Total Tour Costs:
  

Amount Enclosed:

(Minimum $300 non-refundable deposit per person)

NOTE:  Final payments are due by August 11, 2009.  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 888.993.1997.

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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