International Christian Journeys Enrollment Form

Complete the following enrollment form to reserve your tour:

First Name
Last Name
"Name Tag Name: i.e., Bill, not William; Suzy, not Susan; etc."
Date of Birth

Male Female  

Street Address
City
 State
 Zip
Home Phone
Work Phone
E-mail
Tour Information
Name of Tour
 Date of Tour
Church or Organization
Departure City
Passport Number
Expiration Date
Name of Roomate


Please Select Your Preference Below
Non-Smoking Smoking  


Name of Emergency Contact Not Traveling



Phone Number of Emergency Contact Not Traveling



I would like full trip cancellation insurance (What's This?)
Yes No  


I am sending a deposit payment of $500.00 (Check Only)
Yes      


Comments / Requests
I have read and agree to the International Christian Journeys Terms and Conditions