Registration – Pilgrimage to the Holy Land With Fr. Jean-Marie Kabango

1Your Information

2Passport Information

3Payment Information

Your information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Roommate

(if determined)
Daytime Phone No.*
Evening Phone No.
Email Address*
Enter Email Confirm Email
Emergency Contact Name and Relation*
First name Last name Relation
Emergency Contact Phone No.*
Name Requested for Name Tag*
Do you have relatives traveling with you?*
- Yes
- No
Please list their names here and how related to you

Payment Information
Choose the amount of deposit you want*
- $750 - A Deposit
- $3625 - Full Payment
- $2875 - Remaining Balance (Minus $750)
Extra options
- $500 - Single-occupancy accommodations
Checkout
The total amount you chose to deposit.
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
I acknowledge that I have read and understood the General Pilgrimage conditions.*
I acknowledge that I have read and understood the General Pilgrimage conditions.
- I have read and understood the Pilgrimage General Conditions.

Your information