Clone of Logos Israel 2026 Registration Form

Registration Form

1 form per traveler
Trip Name: Rev. Tom Brewer Israel March 8 - 19, 2027 - Price From: $6,799.
Full Name as it appears on your PASSPORT

TitleLast NameFirst NameMiddle (write none if none)
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name to be shown on name badge

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Cell Number
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Israel Trip price is based on a minimum group size of 25. (If minimum number is not met, a small group supplement will apply):
Trip Travel Companion Name:
Please complete Registration Form for Travel Companion
Trip I prefer
Flight Preference
Travel Insurance

For your convenience, we offer a travel insurance plan provided by Travelex Insurance Services. Coverage terms, limits, conditions, and exclusions are set forth in the governing coverage documents, which are controlling.

Premium cost varies by age. The estimated average premium is approximately $830 – $1,169 insuring up to $7,000-$10,000 of the Trip cost. For New York state residents, pricing varies slightly.

Please review the Description of Coverage by selecting the link below based on your state of residence:

· For residents of all states except Washington, you can review 360 Group Premier plan, and the Description of Benefits Flyer for all states.

· Group coverage is not available for Washington state residents but you may be eligible for an individual plan. Please call us for more information.

If you have specific travel insurance questions, please call Travelex Insurance Services at (800) 228-9792, and reference Plan: 360 Group Premier and Location Number: 05-0983. You should advise the Travelex representative of your state of residence. (Devotion Travel is not a licensed insurance agent or broker and cannot answer questions about coverage and exclusions.)
Premiums do vary by age. Travel Insurance Premium Payment is Non-refundable and payable no later than Trip Final payment.
Please Read and Agree to Terms and Conditions
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Declined Insurance? Please unselect insurance payment below.

My Payments

Rev. Brewer Israel 2027

Deposit

$900.00

Non-Refundable Travel Insurance partial premium

Partial premium payment

$168.00

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

If all is correct, at the bottom of the preview page select Register.
~Spiritual Travel to Inspire Your Soul~
310-857-5000 groups@devotiontravel.com

P.O. Box 16377 Beverly Hills CA 90209 / CST #2002434-40
Should be Empty:

Registration Form

My Payments

~Spiritual Travel to Inspire Your Soul~

310-857-5000 groups@devotiontravel.com