PLEASE FILL OUT THE QUESTIONNARE TO IT'S FULLEST IN ORDER THAT I CAN GET AN IDEA OF HOW YOUR TRIP SHOULD LOOK!! AT THE END PRESS SUBMIT TO SEND.
(IMPORTANT INFO-*)
1.CONTACT INFORMATION
FIRST NAME:*
LAST NAME:*
E-MAIL:*
ADDRESS:
ZIP CODE:
STATE/COUNTRY:
HOME PHONE:*
WORK PHONE:
FAX:
AGE:
MALE
FEMALE
2.PARTY INFORMATION
PARTY SIZE:*
PURPOSE OF
TRIP:*
VACATION
WEDDING
BAR MITZVAH
HOLIDAY
FIRST TIME IN ISRAEL:
OUR FIRST TIME
WE'VE BEEN HERE ALREADY
SOME HAVE BEEN/SOME NOT
RELIGION:*
JEWISH
PROTESTANT
CATHOLIC
MUSLIM
OTHER
LEVEL OF OBSERVANCE:
VERY
SOMEWHAT
NOT
ORGANIZATIONAL AFFILIATION:
HOUSE OF WORSHIP AFFILIATION:
3.TRAVEL ARRANGEMENTS
Press here to see calendar
DATE OF ARRIVAL:*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2011
2012
2013
DATE OF DEPARTURE:*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2011
2012
2013
NUMBER OF DESIRED TOURING DAYS:*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
TOUR PACE :
FAST
AVERAGE
SLOW
HOTEL ARRANGMENTS:(name of hotel)
NORTH:
CENTER:
SOUTH:
I WOULD LIKE
YOU
TO ARRANGE MY ACCOMODATIONS
YES:
NO:
4.TOUR CUSTOMIZATION:
AREAS OF CONCENTRATION:(check all that apply)
RELIGIOUS:
HISTORICAL:
ARCHAEOLOGICAL:
STRATEGIC:
FUN:
NATURE:
DESIRED SITES AND ACTIVITIES:
SITES AND ACTIVITIES NOT DESIRED:
DESIRED ACTIVITIES FOR KIDS
JEEPING:
BEDOUIN EXPERIENCE:
BAKING PITA:
MAKE A MOSAIC:
CREATE POTTERY:
HORSE RIDING:
DONKEY RIDING:
CAMEL RIDING:
SCUBA DIVING:
BOAT RIDING:
KAYAKING:
ARCHAELOGICAL DIG:
SPECIAL NEEDS:(Mehadrin, vegetarian, etc; fear of heights, closed spaces, etc; handicaps, etc)
NAMES,AGES & RELATIONSHIP OF MEMBERS OF PARTY:
THANK YOU FOR TAKING THE TIME TO FILL OUT THE FORM TO ITS FULLEST. THERE IS ONE MORE COMMENT BOX-FOR COMMENTS OR THINGS YOU WOULD LIKE TO ADD-
AND JUST REMEMBER THE BETTER THE INPUT,THE BETTER THE OUTPUT!!
