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Wednesday, March 10, 2010
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TRAVEL QUESTIONNAIRE
Please fill in all required fields (
) below and as many option fields as you want. When you are finished, click once on the "Submit Form" button at the bottom of the page to submit the form for processing.
Full Name:
Address:
Phone:
Fax:
E-Mail:
Occupation:
Religious Affiliation:
Jewish
Christian
Other
If Jewish, please check corresponding box:
Orthodox
Conservative
Reform
If Christian, please check corresponding box:
Catholic
Protestant
Other
Do you actively practice your religion?
Yes
No
TRIP DETAILS
# of People in Party:
Adults:
Children:
Children's Age:
Would this be your first visit?
Yes
No
What kind of trip do you have in mind?
Family Holiday Trip
Professional / Business
Bar / Bat-Mitzvah Trip
Study Trip
Other
Combination Possibilities:
Suitable for Children
Museums
Shopping
Study Seminar
Art & Sculpture
EXPERIENCES AND ACTIVITIES
Ground:
Nature Reserve Hikes and Visits
Participation in an Archaeological Dig
Camel / Donkey / Horse Riding
Desert Vehicle / Jeep Safari
Rock Climbing / Rappelling
Animals Farms (Crocodile, Ostrich, etc.)
Water:
Water Parks
Scuba Diving / Snorkeling
Water Skiing / Jet Ski
Air:
Helicopter Tours
Romantic Flights (Light Plane or Helicopter)
Encounters with Israelis / Ethnic & Minority Groups (Home Hospitality):
Kibbutz Family
Moshav Family
Youth Village
New Immigrants
Druze Family
Soldiers
Arab Family
Curators
FLIGHT INFORMATION
Arrival Date:
Airline/Flight No:
Departure Date:
Airline/Flight No:
HOTEL INFORMATION
Hotels:
Deluxe
5 Stars
4 Stars
Rooming Requirement:
Single
Double
Triple
Suite
Special Room Requests:
Connecting
Adjoining
Board Arrangments:
Bed & Breakfast
Half Board
Full Board
Special dietary requirements:
OTHER INFORMATION
How did you find us?
Friend
Link
Search Engine/Web Directory
Web Advertisement
News Group Article
Other
Comments, Questions or Suggestions:
REVIEW AND SUBMIT
Please check to make sure you have filled in all the required fields (
) above and then click once on the "Submit Form" button below. A confirmation page will appear upon successfully submitting the form.
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info@tour-israel.com
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Copyright © 2000-2010 Tour Israel - First Class Travel. All Rights Reserved.
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