Israel Trip Registration FormName * Street Address * City * State/Province/Region * Postal/Zip Code * Country * Passport Nationality (if other than U.S.A.) P.O. Box Home Phone Cell Phone Email * Date of Birth Passport Number (If no passport yet enter "0000") Travel companion - if double occupancy (still needs to register separately) Companion's Relationship to You For which Seminar are you registering ? *March 17 - 31, 2017 For which optional extensions are you registering? Pre-Seminar Hotel in Haifa (Friday)Pre-Seminar Hotel in Haifa (Saturday)Post-Seminar Trip to Petra (Friday-Sunday) How Did You Hear About This Trip? Section VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank