Archive for the ‘Chabad Delmar – Travel Information’ Category

Travel Information & Registration

 

 chabad_house_delmar

Chabad Delmar

 Travel Information

 

Personal Information

Personal Data Form for Trip 

Print and take a copy of this form with you on your trip. Also leave a copy at home with a friend or relative.

Full name  
Nickname  
Home address  
Home phone  
Mobile or cellular phone  
Home fax  
Home e-mail address  
Birthday (MM/DD/YYYY)  
SSN  
Passport number  
Driver’s license number

Emergency and Medical Information

In case of emergency, contact  
Emergency contact’s address  
Emergency contact’s phone  
Doctor’s name  
Doctor’s phone  
Doctor’s address  
Medical insurance carrier and member number  
Blood type  
Known medical conditions  
Known allergies  
Current medications

Airline Information

 

Flight #1

     
Date
Airline        
Airline phone number        
Flight number        
Departure city        
Departure time        
Destination city        
Arrival time

Hotel Itinerary

Date Hotel City, Country Reservation confirmation number Phone number
 
 
 
 
 

 

Travel Dates: April 30 2017 to May 8 2017

 

Cost: Trip cost $2700 including airfare all

            breakfasts & Dinners and

            guided tours.

 

  1. In order to finalize a booking, you must pay a deposit of $1500 in order to secure spaces on the flight and no latter then January 1 2017.
  2. By March 1 2017 Second deposit required of $500.
  3. The balance of $700 will be paid by April 1 2017.
  4. Checks are payable to Chabad Delmar – Trip to Israel
  5. Prices based upon 8 persons minimum

The trip includes:

  • Round trip airfare 
  • All lodging
  • Transportation
  • 3 Breakfast
  • Some Lunchs
  • 8 Dinner
  • Guided tours (Akko, Masada, Katzerin, Tzfat)
  • Cost of entrance fee to places.

The trip does not includes:

  • Gratuities/tips
  • Souvenirs
  • Lunches (when not served)
  • Expenses of a personal nature
  • Health Insurance
  • Insurance for baggage.
  • Personal items.
  • Trip cancellation or interruption.

 

Medical History

 

  • Do you have any illness or conditions that may affect your full participation in this program? If so, please explain.
  • Do you have any allergies or dietary restrictions? If yes, please explain.
  • Any other medical or health condition for which you want the travel team to be aware?
  • Do you have medical insurance valid internationally? If not, secure such coverage.

You can look at this two companies or your own Health insurance:

  1. IMG – International Medical Group – 1-866-368-3724
  2. MEDEX – 1-800-732-5309

 

CANCELLATION BY THE CLIENT

 

The traveler may cancel the booking at any time, and the cancellation will be confirmed once the cancellation request has been sent to Delmar Chabad in writing. The deposit amount paid to reserve the trip, excluding payments for the flights (once the reservation was made). For other services that are cancelled 45 days or less prior to the scheduled start date for the trip, the following cancellation fees apply:

 

 

Timeframe before departure when written cancellation request is received

 

Cancellation penalty from the total amount of refundable services

Timeframe before departure when written cancellation request is received Cancellation penalty from the total amount of refundable services
45-22 days 40%
21-9 days 75%
8 days or less 100%

 

 

 

 

Contact information:

 

  1. Rabbi Simon Nachman 518-438-8280

        109 Elsmere Avenue

         Delmar, NY 12054 USA

        Phone: 518-439-8280

        www.BethlehemChabad.com

Haim Ben-Eliezer 518-859-0065

 

Passport Validity

 

As is customary for international travel, your passport should be valid for a minimum of 6 month from your date of entry to Israel or you may not be permitted to fly.

 

Please note:

 

  • The above cost is subject to change as per notice from hotels and other suppliers of services.
  • The itinerary is subject to change based on weather, security, time and other considerations.
  • There is no refund for sites not visited or activities not done, for any reason.

Chabad Delmar, Elsmere 119 Delmar, NY 12054

Accepted on date: _________________

Signature: ____________________

Printed Name: __________________

Home Address: _________________

Email Address: _________________

Phone No. __________________

Date of Birth: ______________

Passport (No.) _______________

 

YOU MUST HAVE A PASSPORT. IF YOU DON’T HAVE ONE OR YOU FORGET IT, YOU WILL NOT BE ABLE TO GO ON THE TRIP. THERE WILL BE NO REFUNDS.


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