June 20-29, 2020

BARGA, FLORENCE, BOLOGNA, LORETO

Registration Form

Register online here, or print this Registration Form
and mail to:
Mount Tabor Centre
PO Box 700
Orleans, MA 02653

CONTACT INFORMATION

Your name exactly as it appears on your passport:
Mailing Address:

Telephone:
Email:


The following information is now required by the US government. This information must agree with your passport.

PASSPORT INFORMATION

Passport #: Please call 508-240-7090 with this #.
Date of issue:
Date of expiration:
Date of Birth:
Place of Birth:
Gender: MaleFemale


ACCOMMODATIONS

Price is based on double occupancy
I will share a room:

I will share a room with:

Number of beds in room:
2 beds1 bed1 or 2 beds OK

Please arrange for a same-gender room-mate:
YesNo

I prefer a single room*
YesNo
*If you wish to have a single room for the entire trip, there is a supplementary fee of $400.

FOOD ALLERGIES

YesNo
If yes, please specify any:


To pay by check, please mail to:
Sacred Sites: The Holy Land in the Heart of Italy
Mount Tabor Centre
PO BOX 700
Orleans, MA 02653

To pay by credit card please indicate when you send your registration form in and call us at 508-240-7090.