Would you like to register in any Extras? *
Main Package
($5,395.00)
First Name
Middle Name
Last Name
Address *
Street Address
City
State / Province / Region
ZIP / Postal Code
Country
United States
Email Address *
Enter Email
Confirm Email
Passport Information *
(If you don not have a current passport, please leave this section blank and send us the updated information upon availability at yourearliest convenience.) Passports must be valid at least six months past the date of anticipated
Passport #
Issue Date
Expiration Date
Passport Photo
Please download a copy of your passport. Copies of passports are to be used for logistics and management purposes only. This field is optional, but you will be requested to provide a copy of your passport as the departure date of the pilgrimage approaches.
Nationality *
Name Tag *
Phone # *
Date of Birth *
Roommate *
I have a roommate I’d like to share room with.
I do not have a roommate. (We will try our very best to find a roommate for you. However, please note that if a roommate is not assigned to you, the fee for single occupancy will apply.)
Single room. (Please note by selecting this option you understand you are paying the single occupancy rate.)
Roommate Desired *
Participant Details
Please provide the following information about yourself.You can also share any important additional details at the end of the form.
Gender *
Male
Female
Vegetarian *
Yes
No
Medication *
Yes
No
Food Allergy *
Yes
No
Wheelchair needed? *
Yes
No
Any Special Requests? *
Yes
No
Special Requests Text
Travel Insurance
Although the Travel Insurance is optional it is recommended. You may get it either:
Buy it directly online through our website after submitting the application. (Click Here for Benefits, Rates, and to enroll)
Buy it from your Own Insurance company
What does Travel Insurance cover?
Learn more about the travel insurance pricing and coverage by clicking here .
Emergency Contact *
Name
Relation
Phone #
Comments/Special Requests:
I understand the deposit is non-refundable.
*
Yes
No
Terms and Conditions *
I understand and accept
the terms and conditions
I understand and accept
the conditions and cancellation policy
I understand and accept
that if I decide to purchase traveler's insurance elsewhere, Holy Land Tours and Travel, LLC., is not responsible for contacting my insurance to obtain status of my claim or to process claims on my behalf.
I understand and accept
that Holy Land Tours and Travel, LLC., only responsibility is to supply my insurance with the documentation they request directly to Holy Land Tours and Travel, LLC.
Submit my application
Important Notice:
Before proceeding, kindly ensure that you have accepted both the terms and conditions, as well as the cancellation policy mentioned above. Your acceptance is a prerequisite to proceed with our services.
