Registration Form 'Mokum & the Medinah' tour

Please use this form to register for the 'Mokum & the Medinah' tour to Amsterdam and the Netherlands May 22 - 28, 2017.

A $ 850,- USD deposit per person must be received at the time of registration in order to confirm your participation. We will send you an invoice for payment of the deposit after your registration.

Price for land only per person, based on double occupancy : $ 5750,- USD
Early bird price for land only per person (registration and payment of deposit before 01/15/2017): $ 5450,- USD
Single Supplement: $ 800,- USD
Junior suite supplement: $ 1100,- USD
(Limited availability of junior suites. Upgrade not guaranteed for the one overnight on Vlieland Island.)
Prices do not include airfare to and from the Netherlands

Payment in full is due 90 days before departure. If the trip is cancelled because the minimum of 24 participants is not reached, you get a full refund of your deposit. If you cancel your participation before 01/31/2017 you will get a full refund of your deposit.

Please contact Jewish Heritage Expeditions for any questions:
Phone from within the US: 917 6 7777 45
Amsterdam, The Netherlands head office: + 31 6 2464 2940
Israel office: + 972 525 734 760
Email: info@jewishheritagetours.eu

This tour is limited to 40 participants.

Please register me for the 'Mokum & the Medinah' Tour in Amsterdam and the Netherlands, May 22 - 28, 2017.

Name *
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Surname *
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Name spouse
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Address - Street *
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Address - Zipcode & City *
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e-mail *
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Telephone number *
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Pasport Number *
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Date of Birth *
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Pasport Number Spouse
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Date of Birth Spouse
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What kind of room do you like? *
Have you been visiting Amsterdam and the Netherlands in the last few years?
Do you like to participate in the Pre Trip Study Program?
Do you have any special dietary requirements? (Allergies, diabetics, vegatarian food etc.)
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Is there anything else we can help you with on the tour?
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