6th Annual Umrah Registration

6th Annual Umrah Registration

Please fill out the form below to register for the Nov. 22-30 Umrah Trip.
* PACKAGE INCLUDES FLIGHTS FROM EWR/JFK AIRPORT*

TRAVELERS OUTSIDE OF NEW YORK ARE REQUIRED TO ARRANGE THEIR OWN TRAVEL ACCOMMODATIONS TO JFK
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Information

Please provide the name and phone number of an emergency contact person.
Emergency Contact Name

First NameLast Name
Relationship
Emergency Contact Phone Number
Please enter a valid phone number.
Travel Preferences

Please indicate your travel preferences below.
Preferred Rooming
Health and Safety

Please answer the following health and safety questions.
Do you have any medical conditions or allergies?

YesNo
Please specify
Additional Information
Are you traveling alone or with others?

AloneWith Others
Travelers
To secure your reservation you must make a deposit of $500 per traveler via Zelle to this email: MWAtoursandtravels@gmail.com
Additional Comments
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Additional Information