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Registration Form | Christ Apostolic Church
YES - I am interested in joining the Journey to the Holy Land!
Christ Apostolic Church North America (Latunde Region) Pilgrimage 2019
Led by: Pastor Hezekiah Ilufoye
November 11 - 20, 2019
Total Package Including Direct Flight:
$2,560 Per Person sharing a Double Room
$635 Supplement for a Single Room
Payment Schedule:
- A deposit of $500 per person is required to secure your space
- $400 payment is due by: Apr 10, 2019
- $400 payment is due by: May 10, 2019
- $400 payment is due by: Jul 10, 2019
- $400 payment is due by: Aug 10, 2019
- $460 payment is due by: Sep 10, 2019
Church account for trip payments: Bank of America
CACNA MD 446037998707
Title
Bishop
Doctor
Mr.
Mrs.
Pastor
Last Name
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First Name
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Middle Name
Gender
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Male
Female
Passport Number
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Date of Issue
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YYYY
Date of Expiration
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MM
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YYYY
Country of Citizenship
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Date of Birth
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Meal on Flight
Regular
Vegetarian
Kosher
Are you interested in purchasing Travel Insurance?
Yes
No
Mailing Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
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Panama
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Saint Lucia
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Trinidad and Tobago
United States
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Faroe Islands
Finland
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Georgia
Germany
Greece
Hungary
Iceland
Ireland
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Kosovo
Latvia
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Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
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San Marino
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Spain
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Iran
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Japan
Jordan
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Kuwait
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Mongolia
Nepal
Oman
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Philippines
Qatar
Russia
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Singapore
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Syria
Taiwan
Tajikistan
Thailand
Turkey
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Uzbekistan
Vietnam
Yemen
Australia
Fiji
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Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Please make sure to include your apartment number to guarantee delivery of travel documents.
Phone
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Email
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Room Type
*
Single Room (for 1 person only = +$635)
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 Israel. 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 deposit of $500 per person is required (church account for payments: Bank of America CACNA MD 446037998707)
Mailing address for passport copies:
Go Israel NA
200 Winston Drive #918
Cliffside Park, NJ 07010
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.
7. By signing this form you agree to our Terms & Conditions:
www.GoIsraelNA.com/terms
Signature:
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Today's Date
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