Connect To Israel 2023

Connect To Israel 2023

November 5-17 2023
Title
Name (As On Passport)*

First NameMiddle NameLast Name
Birth date*

MonthDayYear
Passport # and Ex date*
E-mail*
example@example.com
Phone number*

Area CodePhone Number
Address*
Street, City, State
Additional Details
Departure Airport*
Preferred airport
Do you have a roommate?*
Yes or No (Single supplement $695)
I have read and agree to the terms, conditions and cancellation policy as listed on connecttoisrael.org*
Yes or No
Additional information such as health or special assistance you may need?
How did you hear about the tour?*
Mike Clayton or Hanoch Young?
Signature

Powered by Jotform Sign Clear
Once your registration has been received Mike Clayton will be contacting you to recieve further information regarding payment method and to discuss any other questions you may have.
Should be Empty:

Additional Details