Accommodation Form

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If you are providing your credit card information please click here for Secured Form
You may fill the form below and send it through this web site.
The form may also be sent by e-mail or fax to the secretariat at:
KENES TOURS
P.O.Box 50006, Tel Aviv 61500, Israel
Tel: +972 3 5140004
Fax: +972 3 5140044 / 5140077
E-mail: ktc@kenes.com
or to one of the recommended travel agents. (Click here for the list of agents).

IDENTIFICATION
Please complete this section accurately; the information you provide will allow us to correspond with you efficiently.
*Fields printed in red are required and must be filled

Participant
Surname:
First Name:
Title:
Department:
Institution:
Mailing Address	Office : Residence :
No:
Street:
Suite/Apt.:
City :
State/Province:
Country:
Postal Code:
Telphone:
Fax:
E mail:
Accommodation
Type of room required	Single: *Double: Other :
First Choice:
Second Choice
Check in:
Check out:
Total night/s:
* I will share my accommodation with:
Tours	Rate	No. of Seats	Double room	Singel room
A Massada, Dead sea, Ein Gedi Saterday June 17	$66
B Jerusalem Old City, Yad Vashem, Bethlehem Sunday June 7	$46
C Galilee Friday-Saterday, June 11-12	Double - $370 Single -$215
D Jordan Tour (3 Days) De Luxe Friday-Sunday, June 11-13	Double - $900 Single -$550
Jordan Tour (3 Days) First Calss Friday-Sunday, June 11-13	Double - $800 Single -$470
1 Jerusalem as the center of Three Religions Wednesday June 9	$30
2 Mount Zion and The Western Wall Wednesday June 9	$30
3 Davis's City Wednesday June 9	$30
IN CASE YOU WISH TO VISIT JORDAN In order to facilitate fast border crossing (this might otherwise take hours to do on your own), please send a photocopy of your passport showing name, nationality, date of birth, passport number, date passport was issued and expiration date (press here for on-line form). Its is your responsibility to obtain a Jordanian visa and re-entry visa to Israel before your arrival.
Transportation
Arrival on: Airline: Flight No: Time:h.
Departure on: Airline: Flight No: Time:h.
Please arrange arrival transfer from the airport to Jerusalem at additional cost of US$ 30
Please arrange departure transfer from me from Jerusalem or Tel Aviv to the airport at additonal cost of US$ 30 (Jerusalem) and US$ 20 (Tel Aviv) per person.
Deposite
All requests for accommodation must be accompanied by a deposit of $ 200 per room. Please indicate your preferred form of payment
I will send via airmail Check (Payable to Kenes Tours)	Number:
I made a bank transfer to Bank Leumi, Y. Rabin Square, Tel-Aviv, account No. 654/0566272/60 Your bank transfer must clearly show the name of the participant and the name of the congress
Credit Card	Visa : Mastercard: Dinners:
Card Number
Expiration date
Names as shown on credit card
If you print this form and send it by fax or airmail please sign here _________ By signing this form you authorize Kenes to charge the above credit card for the balance of your account two weeks prior to your arrival for services ordered.

CANCELLATION POLICY
Up to 90 days prior to your arrival	full refund of deposit less bank charges
up to 45 days prior to your arrival	full refund less $ 50 handling fee
up to 30 days prior to your arrival	full refund less paid deposit
15 days or less	50% of hotel accommodation will be charged. Remainder of money collected by Kenes will be refunded

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