Journey of Remembrance

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Thank you for registering for MJC's Journey of Remembrance. The trip to Poland and Greece will take place from July 9th -19th, 2023.

Please fill out the below information for each passenger you are registering. You are expected to pay a deposit of $1,000 per person upon registration. You will not be considered registered until the deposit is paid in full.

The remainder of the payment ($4,250 per MJC member and $4500 per non-MJC member) can be paid in installments. Final payment needs to be in no later than May 1st.

Payments can be refunded in full up until December 15th. After that date, cancelation fees apply.

* How many people are you registering for the trip?

* Full Name of Passenger #1

* Address of Passenger #1

* Cell Phone Number of Passenger #1

* Email of Passenger #1

* Birthdate of Passenger #1

United / Lufthansa Frequent Flyer Number of Passenger #1

* Is Passenger #1 Vaccinated Against Covid-19

YesNo

* Full Name of Passenger #2

* Address of Passenger #2

Cell Phone Number of Passenger #2

Email of Passenger #2

* Birthdate of Passenger #2

United / Lufthansa Frequent Flyer Number of Passenger #2

* Is Passenger #2 Vaccinated Against Covid-19

YesNo

* Full Name of Passenger #3

* Address of Passenger #3

Cell Phone Number of Passenger #3

Email of Passenger #3

* Birthdate of Passenger #3

United / Lufthansa Frequent Flyer Number of Passenger #3

* Full Name of Passenger #4

* Address of Passenger #4

Cell Phone Number of Passenger #4

Email of Passenger #4

* Birthdate of Passenger #4

United / Lufthansa Frequent Flyer Number of Passenger #4

* Is Passenger #4 Vaccinated Against Covid-19

YesNo

* Full Name of Passenger #5

* Address of Passenger #5

Cell Phone Number of Passenger #5

Email of Passenger #5

* Birthdate of Passenger #5

United / Lufthansa Frequent Flyer Number of Passenger #5

* Is Passenger #5 Vaccinated Against Covid-19

YesNo

Total Deposit Due Now

Thu, April 18 2024 10 Nisan 5784