"The Official in Search of Israeli Cuisine Food Tour" Trip code: Trip Dates: Thursday January 12th- Friday January 20th, 2017 Personal Information First Name Middle name Last Name E-mail address Phone number Cell phone Address: street Street address 2 City State Zip Code Country Passport (additional participant passports bottom of form) Name as it appears on passport Date of Birth DD/MM/Year Country of citizenship Expiration date DD/MM/Year Passport number Travel preferences Room Occupancy Single Double Number of single rooms Number of double rooms Total people in reservation Special requests Upgrades Please contact us Special Requests Triple Kosher? (the trip is not marked Yes Kosher) No Specific food allergies Additional information (Vegetarian, vegan, raw, etc.) Company name to be stated on invoice Additional Services Required (please check where needed) Money exchange prior to arrival SIM card with unlimited calls, data, text and international calls Would you like us to contact you regarding extending your trip? Payment conditions Preferred method of payment Wire Transfer Check Credit Card (add 2%) Pricing: Price per person (Double room) Price per person (Single Supplement) Comments $2950 $750 Upgrades are available at extra cost By October 16th, 2016 $250 deposit (non-refundable) November 30th, 2016 70% of total sum December 26th, 2016 100% of total sum Registration open until October 16, 2016 $250 deposit participant per Via Sabra's services include: DVD of the movie, extended version + welcoming package. All site entry fees. All special activities listed in the itinerary. A private, licensed, English speaking, culinary tour guide. Luxury bus for the entire trip with Wifi. Transportation to and from the airport including VIP services (in Israel only). All accommodations – 4+ star hotels. All breakfasts. Lunch and dinners as specified. Light snacks and cold water bottles. Not included: Airfare. Travel insurance (recommended). Tips for tour guide and driver. Terms of Payment: The above rate is only valid for payment made by wire transfer, check, or cash. Cancellation Policies: By October 16th - all fees are refundable (less $250 deposit non-refundable). By December 12th - 50% of the entire package will be charged. By December 29th - 75% of the entire package will be charged By January 5th - 100% of the entire package will be charged By October 16th, 2016 $250 deposit (non-refundable) November 30th, 2016 70% of total sum December 26th, 2016 100% of total sum I hereby agree to the terms and conditions and understand my place in the trip is assured only after I have transferred the deposit and sent a confirmation or proof of payment. _________________________ Date _____________________ Signature *For payment and wire transfers: IBAN: IL31-0204-6100-0000-0497-766 SWIFT: MIZBILIT Mizrach Tefahot (20) bank, branch 461, account #497766 Via Sabra LTD Passport (passenger 2) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number Passport (passenger 3) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number Passport (passenger 4) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number Passport (passenger 5) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number Passport (passenger 6) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number Passport (passenger 7) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number Passport (passenger 8) Name as it appears on passport Date of Birth Country of citizenship Expiration date Passport number
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