DEPARTURE POINT TRAVEL, a division of The Shenandoah Travel Group, Inc.               REGISTRATION FORM

P. O. Box 3103, Oakton, VA 22124-9103    /    (703) 242-4203 / Fax: (703) 242-4212 / (800) 764-6836    /   DeparturePoint@aol.com

TO ASSIST US IN PROCESSING YOUR RESERVATION, PLEASE COMPLETE THIS FORM (ONE FORM FOR EACH TRAVELER) AND MAIL IT BACK TO US IMMEDIATELY.  PLEASE PRINT ALL INFORMATION.  ALL TRAVELERS ARE RESPONSIBLE FOR VALID TRAVEL DOCUMENTS (PASSPORTS AND VISAS) FOR ALL TRAVEL PROGRAMS.

 

PROGRAM:        A STUDY TOUR OF CHRISTIAN SITES IN TURKEY                          DEPARTURE DATE:     May 21, 2007

                                To visit or view sites associated with the life, ministry and message of the early Church

LEADER:             REV. DR. JOHN PAUL HEIL, S.S.D.                                                             RETURN DATE:                June 7, 2007

                                Professor of New Testament at The Catholic University of America in Washington, D.C.

 

THIS STUDY TOUR DEPARTS FROM WASHINGTON, D.C.

 

1)         PARTICIPANT INFORMATION:

 

YOUR FULL NAME:  _________________________________________________________________________________

(Exactly as it appears [or will appear] on your passport - this is extremely important!)

 

YOUR ADDRESS:  ____________________________________________    PHONES:                Home: _______________________

 

                ______________________________________________________                  Work: _______________________

 

                ______________________________________________________                  Fax:    _______________________

 

                E-mail:   _______________________________________________                  Cell:   _______________________

 

YOUR BIRTH DATE:  _____/_____/_____                                Citizenship:           [   ]  USA

                                            Mo     Day      Yr                                                       [   ]   Other country (specify) ____________________

 

IN CASE OF AN EMERGENCY, NOTIFY:  ___________________________________________             I am  [   ] a smoker

 

   Phone: __________________     Relationship:  ______________________________________             I am  [   ] NOT a smoker

 

2)         ROOMING REQUEST:

 

I REQUEST A:    [  ] TWIN ACCOMMODATION                       [   ] TRIPLE ACCOMMODATION

 

I REQUEST A SINGLE ACCOMMODATION   [   ] (BASED ON AVAILABILITY; SURCHARGE OF $750 APPLIES)

 

NAME(S) OF ROOMMATES: ________________________________________________________________________________

 

                SINCE I AM TRAVELING ALONE, PLEASE ASSIGN A ROOMMATE TO SHARE A ROOM WITH ME.   [   ]

 

3)         PAYMENT INFORMATION:

 

[   ] ENCLOSED IS MY CHECK IN THE AMOUNT OF: USD$ _____________                [   ] Deposit (minimum: $350)

                (Make checks payable to DEPARTURE POINT.)                                                                [   ] Payment

 

I WANT MY NAME BADGE TO READ:  _____________________________________________________________________

 

4)         AUTHORIZATION:   I HAVE READ, UNDERSTAND AND AGREE TO ALL TERMS AND CONDITIONS FOUND

                IN THE ATTACHED DOCUMENT ENTITLED "DEPARTURE POINT'S TERMS AND CONDITIONS OF TRAVEL".

 

 

YOUR SIGNATURE: __________________________________   DATE: _______________

 

5)         ADDITIONAL TRAVEL ARRANGEMENTS:

[   ]   SINCE I DO NOT LIVE NEAR THIS DEPARTURE LOCATION, PLEASE BOOK A TICKET FOR ME FROM: (Specify city

         and airport in that city):  __________________________________.      AIRLINE FREQUENT FLYER #: _________________

[   ]   I DO NOT NEED/WANT ANY ADDITIONAL TRAVEL ARRANGEMENTS.

 

PLEASE RETURN ONLY THIS SHEET WITH YOUR DEPOSIT CHECK.  RETAIN THE ACCOMPANYING SHEETS FOR YOUR TRAVEL FILE!

HEIL-Application-Turkey-2007