Israel CHURCH Trip Registration

Israel Church Trip Trip Registration

March 10-21, 2024 - Cost $3,600
Payment Schedule:
- Upon Registration [$100]
- August 10 [$450]
- September 10 [$450]
- October 10 [$450]
- November 10 [$450]
- December 10 [$450]
- January 10 [$450]
- February 10 [$450]
- March 8 [$350]
Refund and Insurance Disclaimer:

Southern New England Ministry is unable to provide refunds for this trip for any reason. Please secure your own Travel Insurance with appropriate cancellation coverage. We will provide medical insurance through AG Mission Assure for medical emergencies.
Full Name (as it appears on your passport)*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Name
Lead Pastor Name
Date of Birth*

MonthDayYear
Date
Country of Issue for Passport*
Nationality (as listed on passport)*
As listed on your passport
Passport Number:*
Date of Passport Expiration*

MonthDayYear
Date
Food Allergies or Dietary Restrictions
Please upload a copy of your passport here:*

Your registration cannot be processed without these documents
Cancelof
Please upload your signed insurance forms here (download available above):

Your registration cannot be processed without these documents
Cancelof
Please verify that you are human*
Should be Empty:

Israel Church Trip Trip Registration