Please fill out one form per family.
Travel Information
Traveler 1 - Gender Male Female
Last Name
First Name(s)
Date of Birth[MM/DD/YY]
 
Nationality
Passport Number
Date of Expiry

 I would like to share a room with  

If you are joining the Legal Mission 
Lawyer? yes no Firm Specialty Year entered the Bar

Traveler 2 - Gender Male Female            |        Relation: 
Last Name
First Name(s)
Date of Birth[MM/DD/YY]
 
Nationality
Passport Number
Date of Expiry

If you are joining the Legal Mission
Lawyer? yes no Firm Specialty Year entered the Bar

Additional Travelers - Number of additional travelers
Names & Relationship of additional participants
Eg. Abe Cohen - Husband, Ruth Cohen - Daughter
Passport details of additional participants
Contact Information
Address
Bus Home

City
Zip
 
Home Phone
Work Phone
Email
How did you hear about the trip?
Is this your first trip to Israel?
Is this the first trip you take with Chabad TMR?
Payment Information

TERMS OF PAYMENT (see full description of package under the "Pricing" tab)

I will be participating in the Historic UAE/ISRAEL trip, October 10-18  Yes  No
I will be participating in the Israel Legal Mission, October 18-25          Yes  No
Single Supplement                                                                                      Yes  No

UAE/ISRAEL
- The cost for the trip is $4,900 USD per person (double occupancy).  
 - Single Occupancy Supplement (to stay in your own room) is an additional $1,300 USD
- Deposit of $500 CAD per participant to confirm reservations.
- Must pay in full by August 15, 2021

ISRAEL LEGAL MISSION
- The cost for the trip is $4,000 USD per person (double occupancy).  
- Single Occupancy Supplement (to stay in your own room) is additional $1,800
- Deposit of $500 CAD per participant to confirm reservations.
- Must pay in full by August 15, 2021

If attending both segments, you get a discount of $750. 
I will be paying my deposit Paying in full (double occupancy) Paying in full (single occupancy)
I will be paying with 
 E-Transfer: email [email protected] use chabad as password
Credit Card: please add 3% processing fee
Check: please mail to: 4054 Rue Jean Talon O, Montreal QC, H4P 1V5
Amount
Card Type
Card Number
Expiration Date
CVV What's this?
Comments
CANCELLATION POLICY
Trip may be cancelled for full land refund up to August 19, 2021.
RESPONSIBILITY & INSURANCE
Chabad of The Town will not be held responsible for any loss of personal items or damage, and therefore, we STRONGLY RECOMMEND you purchase valid travel insurance which covers, trip cancellation, all health issues and luggage loss or damage.