holyland reg

First Name *

The name you enter above must be exactly as it appears or will appear on your passport.

Middle (if applicable)

Last Name *

The name you enter above must be exactly as it appears or will appear on your passport.

Email *

Phone *

Date of Birth (Day/Month spelled out/Year) *

Country of Birth *

Mailing Address *

Number & Street

City *

State or Province *

ZIP/Postal Code *

Country

If not USA

Passport Country of Issue *

Passport Number

If you do not have a passport at this time, please submit this form now and provide BMSJ with your passport information after you receive your passport.

Passport Issue Date (Day/Month spelled out/Year)

Passport Expiration Date (Day/Month spelled out/Year)

Your passport expiry date should be more than six months after the ending date of this tour.

I am *

Female

Male

I am requesting: *

Double accommodation

Single accommodation

(Optional) My roommate will be:

Body Mind Spirit Journeys will try to match you with a suitable roommate if left blank and Double accommodation selected.

I am registering for: *

Holyland from JFK Plus Jordan Extension

Holyland from JFK Only

Land Only (I will join the group in Tel Aviv)

Land Only Plus Jordan Extension

What led you to discover this spiritual journey?

I am a member of the Companions of Mary the Apostle

I am a member of St. Pauls on the Hill

I am a member of Trinity Ossining

Other (please describe below)

Optional Message

If you require a special diet or have physical limitations that require special attention, please describe here. (Most situations can be accommodated, but we must know beforehand in order to make arrangements, and there may be additional costs.) [HOLYLAND]

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Registration for Holy Land Women’s Pilgrimage

February 9 – 22, 2020