EmailMe Form - Registration Form | Bishop Andrew Binda (JFK)

Title

Last Name *

First Name *

Middle Name

Gender *

Male

Female

Passport Number *

Date of Issue *

MM / DD / YYYY

Date of Expiration *

MM / DD / YYYY

Country of Citizenship *

Date of Birth *

MM / DD / YYYY

Would you like to upgrade your cabin on the 3-day cruise?

No upgrade = Standard Inside Cabin

Outside cabin w/ Porthole = $195 per person in a double cabin

Outside cabin w/ Porthole = $255 per person in a single cabin

Outside cabin w/ Window = $238 per person in a double cabin (waitlist)

Outside cabin w/ Window = $310 per person in a single cabin (waitlist)

If your cabin choice is waitlisted we will confirm the next available category (for example, Porthold instead of Window).

Meal on Flight

Regular

Vegetarian

Kosher

Are you interested in purchasing Travel Insurance?

Yes

No

If yes, we will send you a link to view available travel insurance plans & prices

Mailing Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Please make sure to include your apartment number to guarantee delivery of travel documents.

Phone *

### - ### - ####

Email *

Room Type *

Single Room (for 1 person only = +$485)

Double Room (for 2 people only = 1 double bed)

Twin Room (for 2 people only = 2 twin beds)

Triple Room (for 3 people only = 2 twin beds + sofa bed/cot)

If you chose a Double, Twin, or Triple room, please list your roommate(s) name(s) below:

Questions or Comments:

Please Note:

1. Price is based on a minimum of 35 people
2. Please submit a copy of your passport, which must be valid for at least 6 months from the date of departure.
3. U.S. Citizens are not required to obtain a visa to travel to Greece. Citizens of other countries may need a visa - please inquire with us if you need additional information.
4. Airport taxes are subject to change by the airline until ticketing.
5. To complete your registration, a non-refundable deposit of $350 per person is required.

Mailing address for $350 deposit + passport copy:

Go Israel NA
5003 Westpark Drive #104
North Hollywood, CA 91601

6. To pay your deposit by credit card, please visit our website:

www.GoIsraelNA.com/payment

Kindly note: credit card payments are subject to a 3% processing fee (4.5% for international CC)

7. By signing this form you agree to our Terms & Conditions:

www.GoIsraelNA.com/terms

Signature: *

Today's Date *

MM / DD / YYYY

Single Line Text