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Federation Board of Directors Mission to Israel, March 6-11

Thank you for taking time to fill out the following questionnaire, all of which we require in order to arrange our Board Trip to Israel. If you have any concerns or questions, please call Molly Stern, LD Associate at 415.512.6260.

Please make sure to book your flights before completing this registration form.

(* = required)

Personal Information

First name (as it appears on passport) *

Middle name (as it appears on passport)

Last name (as it appears on passport) *

Date of birth *

Month

Day

Year

Place of birth *

Passport # *

Country of Issue *

Expiration Date *

Month

Day

Year

Gender *

Contact Information

Home street address *

Address line 2

City *

State *

Zip *

Home phone

Cell phone *

Email *

Emergency Contact Information

First name *

Last name *

Relationship *

Street address *

Address line 2

City *

State *

Zip *

Home phone

Cell phone *

Email *

Special Requests

Dietary needs *

Kosher

Kosher Style *

Vegetarian

None

Other

* Kosher style indicates that you prefer to eat at a meal where meat and dairy are not served together.

Allergies (please list relevant allergies)

Other (please list anything else we should know about or take into consideration)

Do you travel on Shabbat? *

Yes

Have you traveled to Israel before? *

Yes

If yes, approximately how many times?

Hotel Trip Price

Price

$2,545: double occupancy (6 nights’ accommodations, meals, all programs, and tours)
Single room preference: + $830

Please indicate your preference: *

Single occupancy

Double occupancy

If you selected double occupancy, do you have a rooming request? If yes, please list their name.

Outbound Flights

Flight (airline and number) *

Flight departure date *

Month

Day

Year

Flight departure time *

Hour

Minute

Flight arrival date *

Month

Day

Year

Flight arrival time *

Hour

Minute

Inbound Flights

Flight (airline and number) *

Flight departure date *

Month

Day

Year

Flight departure time *

Hour

Minute

Flight arrival date *

Month

Day

Year

Flight arrival time *

Hour

Minute

Da'at, our land agent in Israel, will provide 2 group transfers (1 on arrival, 1 on departure) for the flights on which there is the largest number of passengers. If you are arriving or leaving on a different flight, Da'at will arrange a driver (in addition to the special customs service). Da'at will reach out to you following your form submission.

Thank you for providing all this important information. We look forward to visiting Israel with you.