10/02/2023 11:44:08 PM
TRAVEL REGISTRATION FORM
Tour:
Holy Land Tour (HL23/J) Holy Land via Jordan
Departure Date:
11/06/2023
PLEASE NOTE:
Registration for this tour is considered a Late Add. We will process this registration and contact you shortly to confirm the price.
YOUR DETAILS
Host or Group Leader:
(leave blank if unknown)
Host or Group Leader ID:
(5 numeric digits - leave blank if unknown)
Legal Name:
(As it appears on passport)
First:
Middle:
Last
:
Title:
(Mr/Mrs/Ms/Dr/Rev, etc.)
I attest that the name provided above is as it appears on the passport and understand that costly name change fees will be incurred if incorrect. I also understand that passport cards are not valid for international travel.
(
Click Here
for more information about passport books and passport cards)
Preferred First Name:
(If different than First Name listed above. Leave blank if First Name listed above is your Preferred Name)
Street Address:
P.O. Box:
City:
State/Province, Postal Code:
State/Province:
Select State
Bahamas
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Other
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AR
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DE
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IA
ID
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OR
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SC
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UT
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VI
VT
WA
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WV
WY
Zip/Postal:
Country:
Australia
Canada
China
England
France
New Zealand
Northern Ireland
Norway
Philippines
Scotland
Switzerland
United States
Wales
Home Phone:
(with area code)
Work Phone:
(with area code)
Email Address:
Yes, I am interested in receiving emails about my trip & other promotionals
Birth Date:
(Required by the airlines)
Month:
00
01
02
03
04
05
06
07
08
09
10
11
12
Day:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
4 digit Year:
Sex:
Male
Female
Nationality:
USA
Other (Please specify):
If I am not a US citizen, I understand Educational Opportunities is not responsible to provide necessary travel documents, such as Visas. It is my responsibility to check with the consulate for each country I am visiting and obtain any necessary paperwork required to enter those countries.
First trip with EOT?
This is my first trip with EOT
I have traveled previously with EOT
Emergency Contact:
Phone:
(with area code)
Relationship:
How did you learn about this tour?
Select
My Host
A Friend
World Traveler
Travel Planner
EO Website
Church
Newspaper Ad (specify below)
Magazine Ad (specify below)
Online Ad (specify below)
Other (specify below)
COMPLETE THIS SECTION IF YOUR SPOUSE OR CHILD IS TRAVELING WITH YOU
Legal Name:
(As it appears on passport)
First:
Middle:
Last
:
Title:
(Mr/Mrs/Ms/Dr/Rev, etc.)
I attest that the name provided above is as it appears on the passport and understand that costly name change fees will be incurred if incorrect. I also understand that passport cards are not valid for international travel.
(
Click Here
for more information about passport books and passport cards)
Preferred Name:
(If different than First Name listed above. Leave blank if First Name listed above is your Preferred Name)
Birth Date:
(Required by the airlines)
Month:
00
01
02
03
04
05
06
07
08
09
10
11
12
Day:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
4 digit Year:
Sex:
Male
Female
Nationality:
USA
Other (Please specify):
If I am not a US citizen, I understand Educational Opportunities is not responsible to provide necessary travel documents, such as Visas. It is my responsibility to check with the consulate for each country I am visiting and obtain any necessary paperwork required to enter those countries.
First trip with EOT?
This is my first trip with EOT
I have traveled previously with EOT
Emergency Contact:
Phone:
(with area code)
Relationship:
SMOKING, ROOMMATE AND TRAVEL PROTECTION PLAN
Smoking Preference:
Non-Smoking
Smoking
Roommate:
Select
Please try to match me with a Roommate
I want a single room (availability limited)
My roommate is listed in the section above
My roommate name is listed below
Roommate Name:
(only if not listed in section above)
Travel Protection Plan:
I/We Accept the Travel Protection
I/We Decline the Travel Protection
Click Here
to review Travel Protection Plan coverage and benefit details.
Important Information regarding the Travel Protection Program: (1) Coverage cannot be added after you have paid in full. (2) Cost is based on TOTAL cost of trip and is non-refundable (after the state-specific free-look period). (3) Coverage begins when your payment is received by EOT (made separately from deposit & clearly designated as your Travel Protection Plan). (4) Coverage is not available for those living outside of the United States of America.
ITINERARY SELECTION
Register Me/Us For:
Select
Basic Tour with International Airfare
Basic Tour without International Airfare (Ground Only)
Pre-Tour:
None
Dubai Pre-Tour
Post-Tour:
None
Nile Cruise Ext
Domestic Departure City:
Select
Albuquerque, NM - ABQ
Atlanta, GA - ATL
Austin, TX - AUS
Baltimore, MD - BWI
Billings, MT - BIL
Birmingham, AL - BHM
Bismarck, ND - BIS
Boise, ID - BOI
Boston, MA - BOS
Buffalo, NY - BUF
Canton/Akron, OH - CAK
Cedar Rapids, IA - CID
Charleston, SC - CHS
Charleston, WV - CRW
Charlotte, NC - CLT
Chicago O'Hare, IL - ORD
Cincinnati, OH - CVG
Cleveland, OH - CLE
Colorado Springs, CO - COS
Columbia, SC - CAE
Columbus, OH - CMH
Dallas/Ft. Worth, TX - DFW
Dayton, OH - DAY
Denver, CO - DEN
Des Moines, IA - DSM
Detroit, MI - DTW
El Paso, TX - ELP
Fargo, ND - FAR
Fort Lauderdale, FL - FLL
Fort Myers, FL - RSW
Ft. Wayne, IN - FWA
Grand Forks, ND - GFK
Grand Rapids, MI - GRR
Green Bay, WI - GRB
Greensboro, NC - GSO
Greenville, SC - GSP
Helena, MT - HLN
Honolulu, HI - HNL
Houston Int'l, TX - IAH
Indianapolis, IN - IND
Jacksonville, FL - JAX
Jackson, MS - JAN
Kansas City, MO - MCI
Knoxville, TN - TYS
Las Vegas, NV - LAS
Lexington, KY - LEX
Lincoln, NE - LNK
Little Rock, AR - LIT
Los Angeles, CA - LAX
Louisville, KY - SDF
Memphis, TN - MEM
Miami, FL - MIA
Milwaukee, WI - MKE
Minneapolis/St. Paul, MN - MSP
Mobile, AL - MOB
Montgomery, AL - MGM
Nashville, TN - BNA
New Orleans, LA - MSY
New York/Kennedy - JFK
Newark, NJ - EWR
Norfolk Int'l, VA - ORF
NW Arkansas Regional, AR - XNA
Oklahoma City, OK - OKC
Omaha, NE - OMA
Orlando, FL - MCO
Pensacola, FL - PNS
Phoenix, AZ - PHX
Pittsburgh, PA - PIT
Portland, OR - PDX
Raleigh/Durham, NC - RDU
Rapid City, SD - RAP
Reno, NV - RNO
Richmond, VA - RIC
Roanoke, VA - ROA
Rochester, NY - ROC
Sacramento, CA - SMF
Salt Lake City, UT - SLC
San Antonio, TX - SAT
San Diego, CA - SAN
San Francisco, CA - SFO
Seattle, WA - SEA
Sioux Falls, SD - FSD
St. Louis, MO - STL
Syracuse, NY - SYR
Tallahassee, FL - TLH
Tampa, FL - TPA
Tri-City, TN - TRI
Tucson, AZ - TUS
Tulsa, OK - TUL
Washington DC/Dulles - IAD
Washington DC/Reagan - DCA
West Palm Beach, FL - PBI
Wichita, KS - ICT
Special requests may be made once you have received your statement from us. ID numbers on your statement will allow you to access "My Account" on line where special requests are submitted.
Y
PLEASE NOTE: Registration for this tour is considered a Late Add. We will process this registration and contact you shortly to confirm the price.
STATEMENT OF RESPONSIBILITY AND AGREEMENT
Enrollment in and payment of deposit constitutes your acceptance of the "Fine Print" of the brochure. Educational Opportunities Tours is the tour operator and is soley responsible for the travel program. Educational Opportunities Tours is registered with the State of Florida as a Seller of Travel. Registration No. ST24130. CST2027682-40
EOT agrees to provide the itinerary described in this brochure, no changes or deviations to the itinerary are effective unless approved in writing and signed by an authorized officer of the tour operator. Except as stated herein, no person is authorized to cancel, modify or vary the tour arrangements or to make any representation of warranty concerning the tour.
EOT reserves the right to refuse or revoke travel to anyone who is, in the sole judgment of EOT, incapable of group travel without causing undue demands upon the staff or other tour participants. Except where otherwise stated, EOT acts only as an agent for the relevant supplier in securing hotels, transportation, and other travel services and in no event shall EOT be liable for failure by any such supplier to render any transportation, lodging or other travel service to be provided on the tour.
The passenger agrees that EOT assumes no liability for injury, death, damage, loss, accident, delay or irregularity which may occur by reason of any negligent or willful act or omission of any suppliers of service. EOT does not own or operate any of the suppliers of services to your tour. Similarly, without limiting the foregoing, passenger agrees to hold EOT harmless for any defect in any vehicle, plane, boat, bus, car, van or other vehicle, act of war or insurrection, terrorist activity, revolt or other civil uprising, military action, strikes or labor unrest or any Act of God or for any other act of any third party.
EOT does not accept responsibility for losses or additional expenses due to delay or changes in air schedules, hotel overbookings or other hotel related problems or other causes. All such losses or expenses will be the responsibility of the passenger. The right is reserved to make adjustments to the itinerary as deemed desirable to EOT and the right is reserved to cancel any tour prior to departure. EOT may not be held responsible for any loss or damage to luggage during the tour program. Enrollment in, payment of deposit and/or acceptance of final documents, vouchers, or tickets shall be deemed to be consent to the Program Conditions and Statement of Responsibility. Prices are based on tariffs in effect as of January 1 of the previous year and are subject to adjustment without notice in the event of any change or currency fluctuation.
It is agreed by and between the passenger and EOT that all disputes and matters whatsoever arising under, or in connection with or incident to the responsibilities of EOT shall be litigated in and before a court located in the State of Florida, USA to the exclusion of the courts of any other state or country. Florida law will be applicable to any dispute which arises out of/or concerns this brochure or your tour.
In the event that you cancel from this tour, cancellation penalties will apply as outlined in the tour brochure.
Except where otherwise stated, EOT acts only as agent for the relevant supplier in securing hotels, transportation and other travel services and in no event shall EOT be liable for failure by any such supplier to render any transportation, lodging or other travel service to be provided on the tour. EOT assumes no liability for injury, death, damage, loss, accident, delay or irregularity which may occur by reason of any negligent or willful act or omission of any suppliers of service. EOT does not own or operate any of the suppliers of services to your tour. Similarly without limiting the foregoing, passenger agrees to hold EOT harmless for any defect in any vehicle, plane, boat, bus, car, van or other vehicle, act of war or insurrection, terrorist activity, revolt or other civil uprising, military action, strikes or labor unrest or any Act of God or for any other act of any third party. Florida law will be applicable to any dispute which arises out of/or concerns this brochure or your tour.
All prices quoted are subject to change prior to payment in full due to currency fluctuations, fuel surcharge increases, government taxes and fees increases or unforeseen circumstances. In addition, you may be subject to a price increase after payment in full has been received due to potential government imposed taxes and fees.
By submitting this on-line registration, I/We certify that I have read the "Fine Print" 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 "Fine Print" of the brochure and potential price increases after payment in full has been received due to government imposed taxes and fees.
FIT TO TRAVEL STATEMENT: Passengers registering for the tour accept the responsibility for being in good health and able to walk and travel on the tour. Because many of the sites are not accessible to the physically challenged, those needing wheelchairs, oxygen, or other ambulatory assistance will find the tour extremely limiting in their experiences. If you have questions, please contact Educational Opportunities Tours, Inc. for more details.
You must be at least 18 years of age to accept this Agreement and Statement of Responsibility
I/We have read and AGREE to the Statement of Responsibility
I/We have read and DISAGREE to the Statement of Responsibility
All amounts listed are in U.S. Dollars
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