Registration for Mary Magdelene in Provence

October 3 – 16, 2023

Please submit a separate form for each traveler

After you complete and submit this form, you will automatically be re-directed to the Payment Page, with instructions on how to pay by check, money order, credit or debit card. A non-refundable deposit of $1,500 ($1,579 credit card) is required to reserve your space on this tour.

2023 Provence

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

Couple or family (sharing one bed)

(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.

Applicable Discount

Alumni

(Optional) Special diet requirements:

Most requests can be accommodated, but we must know in advance, and additional costs may be incurred.

Optional Message

If you 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.) [PROVENCE]

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View the Terms and Conditions

After clicking, you will be re-directed to the Payment page, with instructions on how to pay securely online.

If you have already registered and you would like to go to directly the Payment page, please CLICK HERE