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(PRINTABLE) HOLY LAND TOUR REGISTRATION FORM

Make all checks and payments to: Holy Land Tour. Then mail to your host Tim Wildmon, Holy Land Tour, P.O. Drawer 2440, Tupelo, Mississippi, 38803. If you would like to use credit card, call 662-844-5036 Ext. 227.

Please Print Legibly. Please include your FULL mailing Address with no abbreivations.

Your name must be as it is on your passport.

Name (s): _________________________________________________________

Address: _________________________________________________________

City/State/Zip: _____________________________________________________

Telephone Number (Home): ___________________________________________

Telephone Number (Mobile): __________________________________________

Email Address: _____________________________________________________

* Yes, definitely arrange for the following inclusions. It is understood an invoice will be sent as it to be paid in full 70 days prior to departure date. The $300 (non-refundable) deposit (each) is attached to confirm participation and as a credit to the total cost of the tour. Also note, airline fuel surcharges are subject to change up to the 30 days prior to departure.

[_] Check for private room for one person ($450.00)

[_] Prefer to room with ________________________________________________

PLEASE READ CAREFULLY

Deposits/Cancellations/Refunds: The deposit of $300 per person is required to confirm tour acceptance and will be applied to the balance of the tour. Payment in full is required by December 28, 2010. For cancellations 69-45 days prior to departure a $600 cancellation fee will be applied. NO REFUND is possible under any circumstances for cancellations made within 45 days of departure. Receipt of deposit for any partial payment of tour constitutes acceptance of all terms and conditions listed herein.

Tour insurance information is available upon reuqest from The Quest Travel Group and is strongly recommended. The Quest Travel Group is the professional travel company Tim Wildmon uses to facilitate the Holy Land Tour. Their addresses is P.O. Box 456, Roswell GA 30077. Phone number is 770-518-5864 and the email address is QuestGroup@earthlink.net.

A valid passport is required for travel to Israel. The passport must be good for six months past day we are to return to United States (March 21). In other words it cannot expire before October 1, 2011.


[_] I have carefully read the tour enrollment form and agree to its contents and conditions.

Signature ___________________________________________________________

Tim Wildmon's phone number is 662-844-5036 ext. 228 and his email address is twildmon@afa.net


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