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					TRAVELING NOV. 1, 2012




 3 Easy Ways to Register
 1. Copy and past this link into your web browser to register online.
  https://www.forms.travelwithus.com/web/paxreg.nsf/Registration14648?OpenForm&HL12+S+110112S



 2. Print out registration form below



 3. Email IsraelTour2012@aol.com



 If you have any questions, please feel free to contact Barbara at 386-793-5422
Passenger Registration Form
SEND ALONG WITH $300 DEPOSIT TO:
Barbara McKeever
644 Alwick Way                                                           MAKE CHECKS PAYABLE TO: Educational Opportunities
The Villages, FL 32163
352-633-5387 cell 386-793-5422
Email: IsraelTour2012@aol.com
PLEASE PRINT OR TYPE


Passenger Name_______________________________________________________________________
                                                           EMAIL
(As listed on passport)
Spouse’s Name (if traveling): _______________________________________________________________________

Name Preference for Name Badge: _______________________________________________________________________

Street, City, State, Zip:_______________________________________________________________________

Telephone: Area Code _______________________________________________________________________
                                                  SEX             Date of Birth

         I decline Travel Insurance Program (insurance is automatically added unless you decline it)

My roommate is:____________________________________                 _______________________________
                                                                            I prefer single room
Passport and Number _______________________________________________________________________
                                             Country:             Exp. Date:
Passport and Number _______________________________________________________________________
                                              Country:            Exp. Date:

Sign here if you decline insurance_______________________________________________________________________
EMERGENCY INFORMATION:
Name:_______________________________________________________________________
                                                             Relationship:
Address:_______________________________________________________________________
                                                              Telephone:

RESPONSIBILITY: Educational Travel Services, Inc./and your Travel Agent act only in the capacity of agents and accept no responsibility for ser-
vices on any aircraft, train, motor coach, cruise line, automobile or any other conveyance used in connection with this tour, not for additional expense
due to delays, loss or accident to traveler or baggage occasioned by such sickness, war, weather, quarantine, or from whatsoever cause. Any such loss
or expense is the responsibility of the traveler. All arrangements for ship or air transportation are made by the respective airline/cruise line, which are
not held responsible for any act, omission, or event after the traveler has disembarked from the airline/ship. The usual passage contract in use by the
airline/cruise line, when issued to the traveler, shall constitute the sole contract between the airline/cruise line and the purchaser of the tour and/or the
traveler. Air schedules are subject to change at any time. Educational Travel Services Inc./Your Travel Agent reserve the right to cancel or withdraw
the tour prior to departure and to decline to accept or retain any person as a member of the tour if their actions impose upon or disturb the other mem-
bers of the tour. The right is also reserved to amend the itinerary should it be found necessary for the benefit of the group or for other reasons.
CANCELLATION FEES: 100% of Cancellation Fees are covered by the optional Travel Insurance Protection Plan provided premium has been paid
and reason for cancellation is insurable. Those who do not take insurance should be aware of the cancellation fees as stated in the ETS travel cata-
logue.
************************************************************************************************************************
*****************************
Venue for any dispute is Polk County Circuit Court, Florida. This contract shall be governed by the laws of the State of Florida. I understand the poli-
cies and conditions of purchasing this tour.

X Passenger Signature _______________________________________________________________                         Date:

Save when you register with a deposit of $300
-$60 9 months prior to departure -$50 8 months prior to departure
-$40 7 months prior to departure -$30 6 months prior to departure.
Full deposit required. Savings deducted from balance.

$3498 from JFK (add $198 from Orlando) (add Travel Insurance) TOTAL COST:

CREDIT CARD #                                                     EXP DATE                               CODE
Additional 4% surcharge on credit card payments           Land Only Price: $2400

				
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posted:4/13/2013
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