Agape Ministries

Agape Ministries

Please include your FULL mailing address with no abbreviations.
Your name (First & Last only) must be as it is on your passport.

First & Last Name

Address

State

City

Zip

Event:

Your email address:

Your Home Phone Number:

Your Cell Phone Number:

Yes, definitely arrange for the following inclusions. It is understood an invoice will be sent and is to be paid in
full 70 days prior to departure. The $300.00 deposit (each) is attached to confirm participation and as a credit
to the total cost of the tour.

NOTE WELL: Each passenger will be invoiced for $614 to prepay taxes/fuel surcharge. Tips ($80) collected by
Rev. Tucker. Rates are based on airline fuel surcharges and applicable exchange rates at the date of
quotation to your host, which are subject to change up to 45 days prior to departure.

You will receive information on travel insurance after
your registration has been processed.

Single Occupancy in Hotels
$590 Type Yes or No

I prefer to room with:

I have carefully read the Terms & Conditions and agree to its content and stipulations.
Type Yes or No

Comments:

Terms and Conditions

Holy Land 2012
Registration Form

"To Know Jesus... And To Make Jesus Known!"