2023 Mission Registration Form

45th Anniversary Trip to the UAE & Israel
UAE: February 20-24, 2023

Israel: February 24 - March 1, 2023

Space is limited. First come, first Serve!
REGISTRATION FORM
Participant 1
Full Name*

First NameLast Name
Preferred Name on Badge
Title

Prof.Dr.Mr.Mrs.Ms.Other
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Mobile Phone*
Email*
example@example.com
Passport Number
Passport Expiration Date

MonthDayYear
Date
Issue Date

MonthDayYear
Date
Passports must be valid for at least six months beyond the return date of the mission.
Please select one of the following travel options*

UAE & IsraelIsrael Only
Participant 2
Full Name

First NameLast Name
Preferred Name on Badge
Title

Prof.Dr.Mr.Mrs.Ms.Other
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Mobile Phone
E-mail
example@example.com
Passport Number
Birthdate

MonthDayYear
Date
Passport Expiration Date

MonthDayYear
Date
Issue Date

MonthDayYear
Date
Passports must be valid for at least six months beyond the return date of the mission.
Please select one of the following travel options

UAE & IsraelIsrael Only
PAYMENT & DEPOSIT SCHEDULE
Prices are based on exchange rates, group size and final itinerary. Not included in the pricing is medical and travel insurance, airfair to Dubai and from Israel, and transportation from the airport upon arrival in Dubai and departure from Israel. Participants are responsible for making their own air arrangements to the UAE and return flight from Israel. The cost of the mission is not tax deductible per tax regulations.

Date	Deposit
Upon Registration	$2,500 USD per person
August 1, 2022	50% of Mission Cost
December 1, 2022	100% of Mission Cost

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Registration Deposit
(per person - USD)

$2,500.00 Quantity

Total

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45th Anniversary Trip to the UAE & Israel

REGISTRATION FORM

Participant 1

Participant 2

PAYMENT & DEPOSIT SCHEDULE