Wisdom's Ways: Registration
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Please print and complete the form below and return with your first deposit of $765 by March 5, 2012. If you are booking a single room, please include your $500 supplement with your first payment.
Wisdom’s Ways: Sofia Traditions in Turkey
registration
name (exactly as it appears or will appear on your passport)
street address
city state zip
passport nationality passport number
date of expiration (should be after April 20, 2013)
telephone (home) (work) (mobile)
e-mail address
name of local faith community
united airlines mileage plus account number
physical/medical limitations
prescription medications
emergency contact
telephone
emergency contact
telephone
travel insurance policy company & policy number
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$765 deposit required by March 5, 2012 ($790 with credit card)
(Optional $500 single room supplement must be included with first payment)
$765 due June 1, 2012 ($790 with credit card)
$760 due August 1, 2012 ($790 with credit card)
Please complete this form (one for each traveler) and return with a photocopy of the first two pages of your passport and your deposit. You may make your check payable to
THE FIRST CONGREGATIONAL CHURCH OF CRYSTAL LAKE
RETURN TO:
Journeys of Faith
c/o The First Congregational Church,
461 Pierson Street
Crystal Lake, IL 60014 USA
You may pay online with a credit card at www.fcc-cl.otg. Convenience fees apply.
)
Please print and complete the form below and return with your first deposit of $765 by March 5, 2012. If you are booking a single room, please include your $500 supplement with your first payment.
Wisdom’s Ways: Sofia Traditions in Turkey
registration
name (exactly as it appears or will appear on your passport)
street address
city state zip
passport nationality passport number
date of expiration (should be after April 20, 2013)
telephone (home) (work) (mobile)
e-mail address
name of local faith community
united airlines mileage plus account number
physical/medical limitations
prescription medications
emergency contact
telephone
emergency contact
telephone
travel insurance policy company & policy number
--------------------------------------------------------------------------------------------------------------
$765 deposit required by March 5, 2012 ($790 with credit card)
(Optional $500 single room supplement must be included with first payment)
$765 due June 1, 2012 ($790 with credit card)
$760 due August 1, 2012 ($790 with credit card)
Please complete this form (one for each traveler) and return with a photocopy of the first two pages of your passport and your deposit. You may make your check payable to
THE FIRST CONGREGATIONAL CHURCH OF CRYSTAL LAKE
RETURN TO:
Journeys of Faith
c/o The First Congregational Church,
461 Pierson Street
Crystal Lake, IL 60014 USA
You may pay online with a credit card at www.fcc-cl.otg. Convenience fees apply.
)