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JPC Prayer Journey Spring, 2018
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Jerusalem Prayer Center
First Name
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Middle Name
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Last Name
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Beneficiary (for travel insurance)
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Emergency Contact Name
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Emergency Contact Phone
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Passport #
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To purchase optional trip cancellation insurance send $110 with your deposit. (Terms and Conditions are listed on the www.livingstonestours.com web site)
Name of Roommate
If you do not have a roommate, the single supplement is $620.
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I have read and understand the terms and conditions of the tour and hereby agree to those provisions.
Do you have any dietary concerns or physical limitations? If so, please describe below.
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Do you have any additional information that will be helpful to us? If so, please enter that information below.
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Send a $300 non-refundable deposit check per person to: Living Stones Tours/113 Fresh Meadow Lane/Mt. Pleasant/SC 29466.
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OFFICE USE ONLY
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