The Fragrant Botanical Tour
Registration Form

One form per person must be filled out

Welcome to The Fragrant Botanical Tour to Israel 2020  



The Fragrant Botanical Tour to Israel 

March 2021


Hosted by Apothecary Cynthia Hillson and Precious Oils Up On The Hill

Name as on Passport___________________________________________________

The name on your passport must match exactly the same as you registration and airfare otherwise departure from the US will be hindered through TSA. Airlines will charge a substantial fee to change your name after issuance of your airfare. Correct name information is the responsibility of the tour member to be sure that all information is correct.

Passport Number _________________ Country of Issuance ___________________

Passport Issuance Date ________ Passport Expiration Date ___________________

Passport copy included with registration ____Yes ____ No, Applied For . . . Will Mail copy

Home Address________________________________________________________

City, State, Zip, Country _______________________________________________

 

Phone Number(s) Home ___________________ Cell____________________ ___

 

E-Mail Address ____________________________________________________________

 

Gender __________ Male ________ Female                  ​  Age (optional)

 

Name of Room mate preference ___________________________________________________

                                  Please assign a roommate from the group.                                                                                                               

If no room mate can be found I understand that the single rate will apply.      __ Initial Here

 

Emergency Contact Name & Phone ___________________________________________

 

I would like my name tag to read ​                                                                                          



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