REGISTRATION FORM:

Please print out this form, fill it out and mail with your payment.
Before registering, please read the Tour Conditions.

Full name (as on passport) 
Full name of spouse if included on trip
Home Address 

City

 State + Zip

Home phone

 Business phone

Cell phone

Email address
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)

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

Passport #2: _____________________

(first name)

Passport being applied for;
info will be sent at a later date.
Passport #
    
Issue date
    
Expiration date
    
Nationality    
Birthplace (State)
 
Birth date
    
ISRAEL TOUR:  JUNE 16-26, 2008

Cost per person:
Total persons registering:
Subtotal:
$2,699.00
             x  ______    =     $_______________

Single room supplement

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

______________________________________
Additional 499.00
Total Tour Costs:
  

Amount Enclosed:

Note: Payments are due in full after March 19th

  

CREDIT CARD PAYMENTS: 

WWE accepts payments by major credit cards 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 (toll free).

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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