2023 ISRAEL FLYER TRAVEL INSURANCE INFO ISRAEL REGISTRATION/PASSPORT FORM CLICK HERE TO PURCHASE TRAVEL INSURANCE 2023 Holy Land Trip Traveler Name:* First Last If you know your roommate's name, please enter it here:Please note: you are ONLY paying the deposit/fees for yourself! Each traveler must fill out their own registration form. First Last Email* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Please check "YES" to allow text messages for travel updates and information YES NO NON-REFUNDABLE signup fee Israel Registration $500 $1700 due 4/15/23 Israel Pymt 1 $1700 due 7/15/23 Israel Pymt 2 $1200 due 9/15/23 Israel Pymt 3 $1400 Single Supplement Fee Israel SSF Total $0.00 Disclaimer*I certify that I am in good physical condition for this trip, and fully understand that it requires a high degree of physical exertion. I understand that the initial deposit of $500.00, due at the time of signup, is NON REFUNDABLE. I AgreeCredit CardCard Details Cardholder Name Δ
