TravelJoy

Kristen Pfeifer

Travelooza

Holy Land Classic Trip

Sep 5, 2022 to Sep 14, 2022

Israel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Holy Land Classic Tour"/>&#13;
		<field type="paragraph" subtype="p" label="Join us on a 10 day Holy Land Classic Tour May 14-23, 2024 starting at $4396* per person, based on double occupancy, with flights from Kansas City or Denver. Visit Jerusalem, Nazareth, the Western Wall, Mount Zion, the Mount of Olives, Cana, Caesarea, Galilee, and more!&amp;nbsp; &amp;nbsp;*IF you need another airport, please let us know.&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Please complete a separate form for each participant.&amp;nbsp; Just enter in comments here your roommate name so we can put you together.&amp;nbsp; Single Supplement is $698 -- limited availability."/>&#13;
		<field type="paragraph" subtype="p" label="................................................................................................................................................................................................................................................................................."/>&#13;
		<field type="text" required="true" label="First name (Full name must be submitted as it appears on your passport- name changes after flight ticketing will be at client's expense)" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" label="Traveler partner (please submit form with all details for both travelers)" name="traveler-partner-please-submit-form-with-all-details-for-both-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="We prefer to fly from:" name="we-prefer-to-fly-from" other="true">&#13;
			<option label="Kansas City" value="kansas-city">Kansas City</option>&#13;
			<option label="Denver" value="denver">Denver</option>&#13;
			<option label="New York" value="new-york">New York</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Dietary Requirements:" name="dietary-requirements" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Mobility Requests:" name="mobility-requests" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Passport information must be submitted to our office no later than 01/25/2024. Failure to provide your passport information to the office by this date may result in change fees or denial of travel.&amp;nbsp; Discrepancies in information may result in change fees, delays in receiving travel documents for your trip&amp;nbsp; or denial of travel.&amp;nbsp; Any fees incurred due to discrepancies are the responsibility of the passenger.&amp;nbsp; Passports must be valid for at least 6 months after the return date."/>&#13;
		<field type="radio-group" required="true" label="I'm interested in the following option:" name="im-interested-in-the-following-option">&#13;
			<option label="10 Day Holy Land Classic Tour" value="10-day-holy-land-classic-tour">10 Day Holy Land Classic Tour</option>&#13;
			<option label="10 Day Holy Land Classic Tour plus 5 day Petra Extension *additional $1236 per person" value="10-day-holy-land-classic-tour-plus-5-day-petra-extension-additional-1236-per-person">10 Day Holy Land Classic Tour plus 5 day Petra Extension *additional $1236 per person</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="My preferred method of payment is:&amp;nbsp; Deposit is $300 with full payment due 01/25/2024" name="my-preferred-method-of-payment-is">&#13;
			<option label="Credit Card (we will send a link separate to process)" value="credit-card-we-will-send-a-link-separate-to-process">Credit Card (we will send a link separate to process)</option>&#13;
			<option label="I will get a check to Kristen in Hays" value="i-will-get-a-check-to-kristen-in-hays">I will get a check to Kristen in Hays</option>&#13;
			<option label="E-Check (1% fee)" value="echeck-1-fee">E-Check (1% fee)</option>&#13;
		</field>&#13;
		<field type="text" label="If you selected E-Check, please enter routing number and account number&amp;nbsp;" name="if-you-selected-echeck-please-enter-routing-number-and-account-number-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Travel Protection Options:" name="travel-protection-options">&#13;
			<option label="Allianz Cancel Anytime Coverage - Varies by age and amount of coverage - approx $431 based $4K coverage for 65 yr old " value="allianz-cancel-anytime-coverage-varies-by-age-and-amount-of-coverage-approx-431-based-4k-coverage-for-65-yr-old-">Allianz Cancel Anytime Coverage - Varies by age and amount of coverage - approx $431 based $4K coverage for 65 yr old </option>&#13;
			<option label="Allianz Classic Coverage - also varies but estimate $288 for 65 yr old" value="allianz-classic-coverage-also-varies-but-estimate-288-for-65-yr-old">Allianz Classic Coverage - also varies but estimate $288 for 65 yr old</option>&#13;
			<option label="TripMate Classic plan offered by ETS for $449 person." value="tripmate-classic-plan-offered-by-ets-for-449-person">TripMate Classic plan offered by ETS for $449 person.</option>&#13;
			<option label="I do not want travel protection and acknowledge that it has been offered." value="i-do-not-want-travel-protection-and-acknowledge-that-it-has-been-offered">I do not want travel protection and acknowledge that it has been offered.</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="PRICING INFORMATION -- INCLUDED IN PRICE:• Round-trip international airfare • Deluxe motor coaches • 1st class hotels • Guided sightseeing • Entrance fees to sites visited (as listed in itinerary) • Breakfast &amp;amp; dinner daily • Hotel gratuities •Program fees • Administrative Fee • Fuel surcharges NOT INCLUDED IN PRICE:• Extension • Optional sightseeing as listed in the brochure • Miscellaneous fees i.e. individual transfers;passports laundry lunches beverages &amp;amp; baggage fees • Visas for non-US citizens • Visas and Transfers for all ground only passengers Optional Travel Protection Program • Tips: for Petra Extension • Tips for guide ($6/day) &amp;amp; driver ($3/day)ACCOMMODATIONS:Price is per person based on double occupancy. When available, single rooms are often smaller than doubles. While we will try to match roommates, we cannot guarantee a roommate will be available. Roommates may be assigned as late as 30 days prior to departure and, if one is not available or you request a single room, the following charges apply:$898 during the basic tour .PAYMENT SCHEDULE:Deposit $300 per person at time of registration Final Payment 01/30/2024"/>&#13;
		<field type="paragraph" subtype="p" label="CANCELLATION POLICY- From day of registration to 105 days prior to departure you will be charged the $100 non-refundable cancellation fee plus any airline fees. Additionally thereafter you will be charged any airline penalties and a single room supplement if your cancellation forces your roommate into a single plus the following per-person charges: 104-60 days= $400; 59-45 days = $600; 44-31 days = 40% of total cost; 30 days to day of departure = 100% of total cost. Submit cancellation in writing. On or after day of departure, there will be no refund for any services not used"/>&#13;
		<field type="textarea" label="Any other questions or special requests?" name="any-other-questions-or-special-requests" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

By signing and submitting the registration form, I certify that I have read Passenger Agreement, Program Conditions, and Statements of Responsibility of the brochure, understand its content, and agree to its terms including but not limited to the potential for price increases that may apply before payment in full has been received as set forth in the Program Conditions and Statements of Responsibility of the brochure and potential price increases after payment in full has been received due to government imposed taxes and fees.

Click to sign