Chaldean/Jewish Mission Signup

UPDATE: We are striving to have an equal number of Jewish and Chaldean trip participants, and only three of the spaces for Jewish participants remain unfilled. Once they are filled, we will start a waiting list in case any people already registered for the trip cancel or if there are enough people on the waiting list to support a second bus.

To reserve your place on the trip, please complete and submit the online form below, and then send a check for $250 per person (refundable through December 14) to:

               JCRC
               6735 Telegraph Road - Suite 140
               Bloomfield Hills, MI 48301

Question before submitting form or deposit? Contact Robert Cohen at cohen@jfmd.org or 248-642-2640.

NOTE for couples traveling together: Please complete a separate form for each passenger.

Name EXACTLY as it appears on passport, including middle name or initial :    

Date of birth:   

Street address:  

City:     State:     ZIP:   

Email:  

Day phone:   

Eve. phone:  

Cell phone:   

Sharing a room with another traveler? [single supplement = $840]

Name of other traveler:   

United Airlines (or partner airline - please specify) frequent flyer number: 
Aircraft seating preference: 

Do you plan to: 

• Go on the Petra, Jordan extension? [$844-859 per person double occupancy, depending on the number of people in the group; single supplement = $286]

• Extend your stay in Israel?

If you have any questions or special requests that you would like us to contact you about, please state them here:

 

NOTE: The Israeli government requires that the passports of all entering visitors have an expiration date at least six months following the date of departure from Israel. Please check your passport and if it needs to be renewed, do so well in advance of the trip.

U.S. citizens do not need a visa to enter Israel. If you have a passport from another country, it is your responsibility to inquire at the Israeli Consulate whether a visa is required.