Westover Israel and Petra Registration

Phone Registration: 1-919-275-4477 Mail Registration: Make checks payable & mail to: Jewish Awareness Ministries • P.O. Box 1808 • Angier, NC 27501-1808 Email Address: office@jewishawareness.org

Passport Information
Legal Name*

If you do not currently have a valid passport, just type your legal name in the text box.
Passport Number*
If you do not currently have a valid passport, type all ones in the text box. (111111111)
Authority (as listed in your passport)*

If you do not currently have a valid passport, type the name of the country that will issue your passport.
Date of Issue*
Month
Day
Year

If you do not currently have a valid passport, type today's date in the text box.
Date of Expiration*
Month
Day
Year

If you do not currently have a valid passport, type today's date in the text box.
Nationality*

Even if you do not currently have a valid passport, enter your nationality.
Personal Information
Title*
Name as you want it on your name badge:*
Preferred Airport Departure City*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone
Sex*
Age*
Birth Date*
MM slash DD slash YYYY
Email*
Would you like to receive email updates about your trip?
- Yes
- No
Emergency Contact*
First Last
Relationship*
Phone
Your Roommate:
First Last
I would like to be paired with a roommate
- Yes
- No
Single room supplement for the 14 day ISRAEL AND PETRA tour is an additional $1,420, if available. When possible, we will try to arrange for a roommate, if requested.
- Yes
- No
COMPLETE THIS SECTION IF A CHILD OR SPOUSE IS TRAVELING WITH YOU
Passport Information
Legal Name
Passport Number
Authority (as listed in your passport)
Date of Issue
Month
Day
Year
Date of Expiration
Month
Day
Year
Nationality
Personal Information
Title
Name as you want it on your name badge:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home or Cell Phone
Sex
Age
Birth Date
MM slash DD slash YYYY
PAYMENT
Via Check
- Yes
Payable to Jewish Awareness Ministries
Deposit and Fees
Price: Total cost per person, based on double occupancy (includes all taxes, tips and entry fees) is $4,000 for the Israel tour. The Israel plus extension tour price is $5,000. Single room supplement is an additional $1,080 for Israel tour and $1,420 for Israel tour and Petra extension, if available. When possible, we will try to arrange for a roommate, if requested. The deposit is $500 per person. Make checks payable to & mail to: Jewish Awareness Ministries, P.O. Box 1808, Angier, NC 27501-1808. Email Address: office@jewishawareness.org. Reserve your seat today!

Westover Israel AND PETRA Registration

Passport Information

Personal Information

COMPLETE THIS SECTION IF A CHILD OR SPOUSE IS TRAVELING WITH YOU

Passport Information

Personal Information

PAYMENT

Deposit and Fees

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