ISRAEL UNLEASHED:

A Journey into Israel for Jewish Animal Lovers

June 3 – June 13, 2012

 

 

 

Please complete, sign and send this 2 page registration form with the signed disclaimer and $600 deposit

per person payable to Educational Encounters Intermational (EEII) to arrive by March 23, 2012 at:

 

Educational Encounters International, Inc. (EEII), 180 East Prospect Avenue # 142 Mamaroneck, NY 10543

 

 

 

□ Include a photocopy of the first page of each passport. Your passport must be valid through December 1, 2012. If you are renewing/applying for a passport please complete & submit the registration form with deposit & forward missing information later.

 

Please provide the information requested below for each person registering. Each name must be spelled exactly as it will appear on your passport. U.S.& Canadian passport holders need no visa to enter Israel. For other nationalities, check with the nearest Israeli consulate.

 

Please note any special health/dietary considerations of which we should be aware, including physical limitations, allergies etc

 

 

Registration Information:

 

Name

(as appears on passport)

Passport  Number

& Expiration Date

Date of Birth

Roommate

Health/Dietary Issues

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Contact Information:

 

 

Your Name:__________________________________________________________  

 

Your Mailing Address:__________________________________________________

 

 

                  _________________________________________________________

 

 

 

Your E:Mail #1:____________________________   Email #2: _______________________

 

Your Phone Numbers:

 

(Cellular) ­­_______-_______-________    (Home) ________-________-________

(Work)    _______-_______-________      (Fax)  ________-________-________

Emergency Contact Information:

Name___________________________ Relationship to you_____________________

Emergency contact phone numbers & e-mail:

(Cellular) ­­_______-_______-________    (Home) ________-________-________

(Work)    _______-_______-________      E-mail:_________________________

Trip Insurance: Keshet urges you to purchase travel insurance to cover trip cancellation and/or interruption. We have made arrangements with SMS Travel Insurance of Omaha, Nebraska to facilitate this. SMS has over 25 years of experience as insurance brokers and can help you choose the policy that best meets your needs. Let them know that you are traveling with a Keshet group so that you will be eligible for preferential Keshet group policy terms. Please note that many insurance policies require purchase within 14 days of the your date of registration for the trip. Dani Eisenstock at SMS Travel Insurance can be reached at US phones 1-888-747-3773 (toll free) and 1-402-343-3681. E mail: Dani@TravelInsuranceIsrael.com     Web site: www.TravelInsuranceIsrael.com

Airline taxes and fuel surcharges are subject to increase without advance notice by the airlines, until the date that tickets are actually issued. We can ticket after we receive full payment from ALL trip participants.The charge for taxes and fuel surcharges will be added to your final bill at the rate known at that time. Should these fees increase between the final billing and actual ticketing, we will send you a supplemental bill for the increase

Keshet: The Center for Educational Tourism in Israel/Educational Encounters International, Inc. acts only as an agent for the tour participants in making arrangements for hotels, transportation, touring, restaurant, or any other services in connection with the itinerary. We will exercise reasonable care in making such arrangements. However, we do not assume any liability whatsoever for any injury, damage, loss, accident, delay or irregularity to person and property because of an act of default of any hotel, airline carrier, restaurant, company, or person rendering any of the services included in the tour. The right is reserved to cancel or change itineraries or to substitute comparable service without notice. The right is reserved to decline or accept or retain any tour passengers should such person's health or general deportment impede the operation of the tour to the detriment of the other tour participants. Rates are based on standard rooms unless otherwise indicated.  No refunds will be given for unused package inclusions. 

Disclaimers

Itineraries may be altered as a result of security, logistics or weather concerns determined by either Keshet or the contracting group. Costs associated by such changes are the responsibility of the group. In the event of devaluation of the US dollar, hotels and other vendors may add surcharges; Keshet reserves the right to pass such increases on to trip participants. Keshet may use photographs/videos taken on the trip for promotional purposes.  If you do not want your photo/ video to be used please notify us in advance.

 

Pricing is based on a stated minimum number of participants.  Should the group number fall below the minimum, Keshet reserves the right to alter the program and/or recalculate the pricing.

My signature below indicates that I have read and understood the above.

 

_____________________________                                           ­­­­­­­­­­­­___________________

Signature of Participant                                           Date

 

 

 

 

 

 

        

 

 

 

 

 

 

 

 

 

 

 

 

 

                                         

 

This free website was made using Yola.

No HTML skills required. Build your website in minutes.

Go to www.yola.com and sign up today!

Make a free website with Yola