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JPC Prayer Journey March 15-24, 2021
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Jerusalem Prayer Center
First Name
Middle Name
Last Name
Date of Birth
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Street address
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Home Phone
Cell Phone
Email Address
Beneficiary (for travel insurance)
Relationship of Beneficiary
Emergency Contact Name
Emergency Contact Phone
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.
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.
Do you have any additional information that will be helpful to us? If so, please enter that information below.
Send a $300 non-refundable deposit check per person to: Living Stones Tours/113 Fresh Meadow Lane/Mt. Pleasant/SC 29466.
OFFICE USE ONLY
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