Rick and Mick Vigneulle

Rick and Mick Vigneulle

Israel and Petra in Jordan
Holy Land Tour - February 11-22, 2019
Here you have the option of Completing Online Registration and Payment

OR

You can Complete this Registration Form, Print and Mail with Payment to:

DuCar International Tours

P.O. Box 10307

Lynchburg, VA. 24506

any Questions? call : 1-800-553-8227
Registration Date

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Passport Name *

First Name Middle Name Last Name
Birth Date *

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Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *
Home Phone Number *

Area Code Phone Number
Cell Phone Number *

Area Code Phone Number
Emergency Contact (someone not on the tour)
Emergency Contact Name
Emergency Contact Phone Number

Area Code Phone Number
Trip & Room
Nickname for Badge
Gender: *

Male Female
Roommate Request
Traveling with someone/people other than with whom you are rooming? List them here.
Passport Information
We will need a photocopy of your passport Uploaded here:
Upload PASSPORT here:

Upload a File

Cancel of
or sent to: ducartours@aol.com.

or mail to:

DuCar International Tours

P.O. Box 10307

Lynchburg, VA. 24506

Israel requires your passport to be valid for at least six (6) months from the time of your return date.

If you have your passport, please fill out the below information. If you do not have your passport yet, please send that information to us as soon as possible.
Passport Number
Issue Date
Expiration Date
Date of Birth
Place of Birth
Citizenship
Tour Options
choose one *

Full Package / with Flight / Per Person $5,499. Land Package / without Flight / Per Person $4,499.
Travel Payment Options
A Deposit of $500 is required to register and $300 of the deposit is non-refundable.
Tour Packages are based on a Double Occupancy Room Accommodation
Payment Selection *

$500 Deposit Only / Full Package / with Flight / Per Person $5,499. / Land Package / without Flight / Per Person $4,499.
For an Additional Fee(added to your tour package)You have the option here to have a single occupancy room.

SINGLE OCCUPANCY ADD ON / $1050
Insurance Information: Trip and Cancellation insurance is mandatory and needs to be paid at time of Registration. You may purchase this coverage by calling DuCar at 800.553.8227 or furnish DuCar with a certificate of insurance from your carrier or send a letter stating you are self‐insured A.S.A.P. Prices are per person. *

Full Package / Double Occupancy / $447 Full Package / Single Occupancy / $587 Land Package / Double Occupancy /$357 Land Package / Single Occupancy / $487 I will provide Other Travel Insurance Self-Insured
IF YOU CHOOSE TO MAIL IN YOUR REGISTRATION AND WANT TO PURCHASE INSURANCE THROUGH DUCAR, YOU MUST SUMBIT INSURANCE PAYMENT WITH REGISTRATION.
If you choose our insurance above, you have the option to cancel For ANY REASON for An Additional Fee (this is not an option if you have your own insurance)

Full Package / Double / $223.50 Full Package / Single / $293.50 Land Package / Double / $178.50 Land Package / Single / $243.50
If you wish for an Upgrade to Business Class Please call

DuCar Tours for current pricing

at: 1-800-553-8227
Signature
Order Summary
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Total Due Per Person:
Payment
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Credit Cards Only; we are not accepting Debit Cards.

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First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If you choose to mail Completed Registration Form and Payment,

We Accept:

Check, Money Order, Cashiers Check and Credit Cards
Should be Empty:

Rick and Mick Vigneulle

Emergency Contact (someone not on the tour)

Trip & Room

Passport Information

Tour Options

Travel Payment Options

Order Summary

Payment