Home >

If you'd like to print out this form, please click on the PDF option.

MOSAIC LAW CONGREGATION
Summer Israel Experience..... A Fun-filled, educational tour of Israel for First-timers and Return visitors who want to recapture the spirit of the Holy Land.

29 July - 9 August 2007

NAME: ____________________________________________________________

DATE/TOUR: 29 July - 9 August 2007

ADDRESS: ________________________CITY:___________________STATE:_____ZIP:_______

HOME #:______________FAX:______________WORK:_____________FAX:_____________

E-MAIL ADDRESS: __________________________

. Land Only .. Land and Air

NAME AS IT APPEARS ON PASSPORT PASSPORT # (IF AVAILABLE) DATE OF BIRTH AGE

PRICING: Based on double occupancy room:

Land/Air Package $3499* - Land Only $2050 - Single Supp $759
Third person over 18 in triple room: subtract $260
Child, under 18, as third person in a triple room: subtract $505
Reduction for child under 12 on Air Only 20%

Added to above price Airport Tax $90, Fuel Surcharge $90**,
Tips for Guide, Driver and Restaurants $95

*Prices are based on a minimum of 30 paying participants

Dont miss the trip of a lifetime

Prices are net - If you wish to use a Credit Card, Please add 4% for Visa or Master Card. American Express, Administration fee

  • IF PLANNING AN EXTENSION, NOTIFY US NO LATER THAN 120 DAYS PRIOR TO DEPARTURE.
  • IF APPLICABLE, ATTACH SHEET WITH DESIRED ROOMING ARRANGEMENTS (Double, Triple)
  • RETURN THIS APPLICATION WITH A DEPOSIT of $200.00 PER PASSENGER. DEPOSIT:$___________
  • PLEASE MAKE CHECK PAYABLE TO: Mosaic Law Congregation
    mail to - 2300 Sierra Blvd. Sacramento, CA 95825
    CREDIT CARD NUMBER: ___________________________________________EXPIRATION:____________

CELLULAR PHONES AND INSURANCE APPLICATIONS WILL BE SENT UPON RECEIPT OF DEPOSIT.

PLEASE READ REVERSE SIDE AND SIGN, THANK-YOU

PAYMENT IN FULL IS DUE 90 DAYS BEFORE DEPARTURE

ITC TOURS LLC - 107 EAST MOUNT PLEASANT AVE. SUITE 115, LIVINGSTON, NJ 07039
973-535-2575 .. 1-800-2 ISRAEL.. FAX: 973-535-2690 .. E MAIL: info@israeltour.com

Check your Passport it must be valid for 6 months beyond your trip return date

TERMS AND CONDITIONS

ROOMS: Prices are based on double occupancy. Single rooms are available at supplementary cost:

TAXES: Airport tax $90 and Fuel $90 *surcharges are in the price of the tickets: *Surcharge Subject to Change

TIPPING: Tips for guides and drivers are added to the price of all tours: $95.

INSURANCE: Insurance is not included in the tour price. Application will be sent upon receipt of deposit. We strongly recommend that you purchase the travel insurance package which is offered. Please note that we cannot accept responsibility for any
losses or expenses, which you or any member of your party may incur as a result of
failing to secure adequate coverage.

MEDICAL CONDITION: ITC is not responsible for any medical conditions that may occur during or prior to the tour.

CANCELLATION: All cancellations must be in writing to us and must be signed by the person who made the original reservation. Cancellations are only effective from the day they are received by us. No refunds are issued for cancellations received after the date the tour departs. Penalties will apply. If you cancel your tour, cancellation fees and penalties will be deducted from your refund or deposit. Cancellation fees will apply to all deposit checks (Airline penalties could be equal to the total cost of the ticket.) Cancellation fees apply to each person. Deposit is not refundable.

PRIOR TO DEPARTURE CANCELLATION FEE

90 - 59 Days $200.00 per person

60 - 30 Days- $250.00 per person*

29 - 15 Days $300.00 per person*

14 - or Less NO REFUND

Airport cancellations & no shows *Plus any penalties applied by airlines, hotels and tour operators.

BAGGAGE: Luggage is the responsibility of the passenger and that of the airlines. For
lost luggage claims, the passenger is responsible for notifying the airline directly.

SEAT ASSIGNMENTS: There is no advanced seat selection for tour departures; however, we will try to meet individual requests upon availability. Three hours advance arrival to the airport is necessary to insure adequate time for check in.

RESPONSIBILITY FOR FLIGHT AND PASSENGER ACCOMMODATIONS AND SERVICES:
ITC is responsible for making all arrangements for tour services offered in the itinerary.
The airlines, hotels, land operators and other suppliers providing services are
independent contractors and not agents, employees or associates of ITC. Acceptance
and confirmation of your reservation is at the discretion of the airlines even after full
payment has been made. ITC assumes no responsibility or liability in connection with the
service of an aircraft, motor coach, taxi, or other conveyances, which may be used in the
performance of its duty to the passengers. All vouchers and other documents for
services issued by the company are subject to the terms and conditions specified by the
suppliers and to the laws of the country where services are supplied. If the tour services
as indicated by the itinerary cannot be supplied or there are changes in the itinerary for
reasons beyond the control of ITC, we will arrange for provision of comparable services.
ITC reserves the right to make changes in the itinerary whenever ITC deems it necessary
to the comfort, convenience and safety of the participant at any time. The participant
agrees that ITC shall not be liable for any changes in flight schedules, delays, weather
conditions, damages, losses (including personal injuries, death and property losses) or
expenses occasioned by acts or omissions of any person, including suppliers providing
services, or for any acts of war, insurrection, revolts, or other civil uprisings, military
actions, strikes, or acts of G-d occurring either in the country of origin, through
passage or destination. No person other than an authorized representative of ITC by
written consent is authorized to vary, add or waive any term or condition in this
agreement. The right is reserved to decline to accept or retain any tour passenger
should such persons health or general deportment impede the operation of the tour
to the detriment of the other tour passengers.

PASSPORTS AND VISAS: Each passenger participant must have a valid passport.

IMMUNIZATIONS: No immunization shots or vaccinations are required at present, unless
otherwise noted.

NOTE: The sequence of activities in the itinerary may change or be reversed some may
be omitted due to circumstances beyond our control. Pricing is subject to change until
the trip is paid in full.

Signature(s):______________________/______________________Date:___________
My (our) signature(s) indicate(s) that I (we) have read and agree to the Terms and
Conditions included with this trip package.

All prices reflect a 4% discount made for purchases with cash or checks. Please add 4 %
if using credit card.

Check your passport it must be valid for 6 months beyond your trip return date