Registration Form - print and mail
Mail to: Educational Opportunities Tours, PO Box 6098, Lakeland FL 33807
1-863-648-0383                   eo@travelwithus.com
NOTE: A Deposit of $250 per person is Required ($400 for Greece Turkey Cruise)

Program Name: _______________________________

CAREFULLY READ the
FINE PRINT
PRIOR to submitting this REGISTRATION
NOTE: Your registration and deposit check indicates your acceptance of the Fine Print, including cancellation fees and
Statement of Responsibility

Departure Date: _________________________, 200____

Departure City: ________________________________

Name of Group Leader/Tour Host: _________________________________________
Name of Group Leader/Tour Host is required to ensure you travel with the correct group !

Group Leader/Tour Host ID# (if known): _____________________________________________
 

Complete all items in this section

Your Legal Name (as it appears on Passport): ______________________________________________

Title (Rev. Mr. Mrs. Ms. etc.): ______________________________________________

Preferred Name (if different than above): ______________________________________________

Street Address: ______________________________________________

PO Box: _______________________________________

City/State/Zip: ______________________________________________

Home Phone include area Code: ______________________________________________

Work Phone include area Code: _______________________________________________

Email Address: _________________________________

Birth Date: Month__________ Day__________ Year ________

Age: _________________ (required)

___ Male ____ Female

Nationality: ______________________________________

Passport Number (if available): ______________________

Expiration Date: __________________________________

Complete this section only if
your Spouse or Child is
traveling with you

Spouse/Child's Legal Name
(as it appears on Passport): ________________________________

Title (Rev. Mr. Mrs. Ms. etc.): ________________________________

Preferred Name (if different than above): ________________________________

Birth Date: Month_____ Day_____ Year ___

Age: ___________________ (required)

___ Male ____ Female

Nationality: ________________________________

Passport Number (if available): ________________________________

Expiration Date: ___________________

Emergency Contact (during trip):
   Contact's Name: __________________________________________________________
   Phone (with Area Code): ____________________________________________________
   Relationship: _____________________________________________________________

Clergy Scholarship for ordained ministers, priests, ordained deacons or religious
who have never traveled with us to the Holy Land or Europe:
            You can receive a scholarship for Holy Land* and
            an one additional scholarship for each of the following destinations:

Greece: Paul's Journeys (PA)
Turkey: Paul's Mission (TK)
 Greece/Turkey: Special Cruise  (GC)

England: Welsey Heritage (HE)
England: England 2002 (EN02)
England: Anglican Heritage (AH)

Scotland: Presby. Heritage (ST)
Reformation Trail (RF)
Switzerland (SW03)

*every fouth year - no scholarship available on HL/YU

Scholarship and Qualifications

Check the appropriate
grey box(es) at right
to receive your scholarship

___

$400 for Clergy, Priests, Ordained Deacons and Religious

___

$250 for spouses of the above

NOTES: Only Hosts and accompanying spouses are eligible for a scholarship.
Early registration savings are not applicable for scholars or their spouses.
Full per person deposit required. Greece/Turkey Cruise Scholarships are $100 higher.

Continue your registration by completing this section:
___ Non-Smoker(s) ___ Smoker(s)
___ I/We decline the Travel Insurance Program (See coverage)
Your coverage begins when we receive your payment for the plan. Please Note: the plan exclusion for Pre-Existing Medical Conditions is waived if 1) we receive your payment on or before the final payment due date for your trip,
and 2) you are not disabled from travel at the time you make your plan payment.

Roommate Choice:
___ Room with spouse/child                ___ Other (give name): ______________________________
___ Please try to match w/Roommate  ___ I want a single room (availability limited/additional cost)

Register me/us for the following Pre-tour or Extension: ____________________________
 

COPY of  PASSENGERS PASSPORT (photo page)
REQUIRED 90 DAYS PRIOR to TRAVEL

"I/we have carefully read and understand the terms of the Fine Print which
 apply to this travel program"

Passenger Signature: ______________________________ Date: _____________________          

Passenger Signature: ______________________________ Date: ______________________     Minors require the approval of parent or guardian who must also, as proof of their approval,
make the payments for the minor.

"I am the parent or guardian of the above minor and I give my permission for him/her to participate in this travel program. I understand that I must make the payments for this minor child and these payments are considered proof of my approval of his/her participation."

Name of parent/guardian: __________________________ Date: __________________________

Enrollment in and payment of deposit constitutes your acceptance of the "Fine Print' and Statement of Responsibilities. Educational Opportunities Tours is registered with the State of Florida as a Seller of Travel: Registration No. ST24130. CST2027682-20

© 2003 Educational Opportunities Tours. All rights reserved.
www.eo.travelwithus.com
Educational Opportunities Tours  PO Box 6098, Lakeland FL 33807
phone: 1-863-648-0383 fax: 1-863-644-6801  e-mail: eo@travelwithus.com