Registration for the Joel Kramer Israel Study Tour

Please fill out the following registration form for yourself and any others who will be traveling with you.

Which tour are you registering for?*

The March 2024 trip is full--registration is closed

The June 2024 trip is full--registration is closed

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a second traveler?*

Yes

Traveler #2

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a third traveler?*

Yes

Traveler #3

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a fourth traveler?*

Yes

Traveler #4

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a fifth traveler?*

Yes

Traveler #5

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a sixth traveler?*

Yes

Traveler #6

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a seventh traveler?*

Yes

Traveler #7

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register an eighth traveler?*

Yes

Traveler #8

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a ninth traveler?*

Yes

Traveler #9

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Do you need to register a tenth traveler?*

Yes

Traveler #10

Name*

Address*

Email*

Phone*

Year of Birth*

Gender*

Male

Female

Name on Passport (exactly as it appears on your passport)*

Passport #*

(type "123456789" if you are in the process of acquiring/renewing a passport and don't know the number)

Passport Expiration Date*

(exactly as it appears on your passport)

Issuing Country*

Hotel Room Preference*

Double Room - with spouse/family member/friend

Single Room - I want a single, private room

Name of spouse /family member/friend:*

Emergency Contact - Name*

Emergency Contact - Email*

Emergency Contact - Phone*

Pay Your Registration Deposit

$350 per person registering. The deposit is non-refundable. You may pay by credit card or through PayPal.

Registration Deposit

Price:

Number of People Registering

Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Name

This field is for validation purposes and should be left unchanged.