Walk Thru Israel 1-10 June 2018 Terry Seamon Group

Israel, The Life of Jesus

PASTOR, KATHY LAMON 19-30 AUG 2023
NAME #1 ======== (AS PASSPORT)*

TitleGiven NameMiddle Name Last Name
Gender*
Date of Birth (Required by airline)*

MonthDayYear
Nationality (as passport)*
Passport Issue Date

MonthDayYear
Date
Passport Expiry Date

MonthDayYear
Date
Passport Number
TRAVEL/MEDICAL INSURANCE*

I will arrangePlease send me information
DEPARTURE AIRPORT

ATLANTA (ATL)ALTERNATIVE - (PLEASE INDICATE IN THE COMMENTS BOX)
ROOMING

REQUIRE A SINGLE (Supplement ($1200)TWIN/DOUBLE ROOMWILLIING TO SHARESHARING WITH #2
SHARING WITH (Friend or Partner)

SUFFIXGIVEN NAMELAST NAME
NAME #2 ========== (AS PASSPORT)

TitleGiven NameMiddle Name Last Name
Gender
Date of Birth (Required by airline)

MonthDayYear
Nationality (as passport)
Passport Issue Date

MonthDayYear
Date
Passport Expiry Date

MonthDayYear
Date
Passport Number
TRAVEL/MEDICAL INSURANCE

I will arrangePlease send me information
DEPARTURE AIRPORT

ATLANTA (ATL)ALTERNATIVE - (PLEASE INDICATE IN THE COMMENTS BOX)
ROOMING

REQUIRE A SINGLE (Supplement ($1200)TWIN/DOUBLE ROOMWILLIING TO SHARESHARING WITH #1
SHARING WITH (Friend or Partner)

SUFFIXGIVEN NAMELAST NAME
Comments
E-mail address*

Confirmation Email
Phone Number*

Country CodeArea CodePhone Number
Main address for correspondence*

Address

Address Line 2

CityState

Postal / Zip CodeCountry
Payment Method*

Check by mailElectronic Bank TransferCredit Card (Click PAYPAL Button as Below)Debit Card (Click PAYPAL button as Below)
PAYPAL PAYMENT
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Israel 19-20 Aug 2023 Pastor, Kathy Lamon - Deposit Per Person$500.00

Quantity
Item subtotal:$0.00
REGISTRATION NOTES

1/ Deposits are $500 Per Person.

2. Registration.
After completing this form using the submit button below you, Pastor Kathy and the Biblical Resources office will receive a copy.

3. Bank Electronic Transfer.
Please use your Initial/s & Last Name as your payment reference.

Electronic transfers are to =
Routing: 061112021 Account: 101-280-4447 (Biblical Resources LLC)

4. Check Payments.
Please make your check out to 'Biblical Resources LLC' and mail to =
Biblical Resources, LLC, 5, East Lafayette Square, LaGrange, GA 30240

5. Credit or Debit Cards.
Payments is by using the secured PayPal link on this form.

Payment will be held by Biblical Resources LLC, the Operator.

6. Final Invoice.
Your invoice will be sent to you by early June 2023 and final payment will be due when your receive your invoice.
Please note that if payment is by PayPal or Credit Card, it will be subject to a 3% charge on the total final invoice.
There is no addition charge for payments by check or Debit Card.
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Israel, The Life of Jesus